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General NPI Number Information
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NPI Number | 1730593039
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Entity Type | Organization
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Legal Business Name | JEFFREY P RAY LMHC CAP CSAT LLC
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 1860 OLD OKEECHOBEE RD STE 300
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5224
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Country | US
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Telephone | 561-707-6591
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Fax | 888-820-1824
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Provider Business Mailing Address
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Address Line | 1199 CREEKSIDE DR
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City | WELLINGTON
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State | FL
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Zip | 33414-3137
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Country | US
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Telephone | 561-707-6591
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Fax | 888-820-1824
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY PAUL RAY
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Credential | LMHC, CAP,CSAT
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Telephone | 561-707-6591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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