Healthcare Provider Details

I. General information

NPI: 1003262684
Provider Name (Legal Business Name): A RAY OF HOPE COUNSELING AND HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7588 CENTRAL PARKE BLVD STE 105
MASON OH
45040-6857
US

IV. Provider business mailing address

8977 COLUMBIA RD STE A
LOVELAND OH
45140-1100
US

V. Phone/Fax

Practice location:
  • Phone: 513-409-3635
  • Fax: 513-826-9350
Mailing address:
  • Phone: 513-409-3635
  • Fax: 513-826-9350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number3888421
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: YVONNE M FERANDEZ
Title or Position: OWNER
Credential:
Phone: 513-409-3635