Provider Demographics
NPI:1740624949
Name:A RAY OF HOPE COUNSELING LLC
Entity type:Organization
Organization Name:A RAY OF HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANESE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENHALGH
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:641-676-4545
Mailing Address - Street 1:216 N B ST
Mailing Address - Street 2:
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577-2728
Mailing Address - Country:US
Mailing Address - Phone:641-676-4545
Mailing Address - Fax:641-676-4546
Practice Address - Street 1:216 N B ST
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-2728
Practice Address - Country:US
Practice Address - Phone:641-676-4545
Practice Address - Fax:641-676-4546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007454251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health