Healthcare Provider Details

I. General information

NPI: 1356114714
Provider Name (Legal Business Name): 6 RAY HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 PRAIRIE AVE
KALAMAZOO MI
49006-4477
US

IV. Provider business mailing address

141 PRAIRIE AVE
KALAMAZOO MI
49006-4477
US

V. Phone/Fax

Practice location:
  • Phone: 269-330-2114
  • Fax:
Mailing address:
  • Phone: 269-330-2114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: KAREN M OBERHILL
Title or Position: CEO
Credential: LPC
Phone: 269-330-2114