Healthcare Provider Details
I. General information
NPI: 1982521464
Provider Name (Legal Business Name): A RAY OF HOPE THERAPY AND FAMILY RESOURCE CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21315 41ST AVE E
SPANAWAY WA
98387-6719
US
IV. Provider business mailing address
21315 41ST AVE E
SPANAWAY WA
98387-6719
US
V. Phone/Fax
- Phone: 253-459-0673
- Fax:
- Phone: 253-459-0673
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TANYA
LATRICE
MILLER
Title or Position: OWNER, MANAGER
Credential: LICSW
Phone: 253-459-0673