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NPI Code Detail

MEDICARE: MR. JEFF P RAY LMHC, CAP, CSAT

MEDICARE: MR. JEFF P RAY LMHC, CAP, CSAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor1626FL
2101YM0800XMental Health Counselor9078FL
3101YP2500XProfessional Counselor2008C-0623FL

General Provider Information

NPI Number : 1437481017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFF P RAY LMHC, CAP, CSAT
Provider Business Mailing Address
First Line : 1199 CREEKSIDE DR
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-3137
Country : US
Telephone Number : 561-707-6591
Fax Number : 888-820-1824
Provider Business Practice Location Address
First Line : 1860 OLD OKEECHOBEE RD
Second Line : SUITE #300
City : WEST PALM BEACH
State : FL
Zip : 33409-5253
Country : US
Telephone Number : 561-707-6591
Fax Number : 888-820-1824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2010
Last Update Date : 07/05/2016

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