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General NPI Number Information
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NPI Number | 1861146102
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Entity Type | Individual
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Provider Name | KYRAN J RAY PHD, LPC, LMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2022
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD STE 7400
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City | HONOLULU
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State | HI
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Zip | 96813-4902
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Country | US
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Telephone | 512-710-6553
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Fax |
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Provider Business Mailing Address
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Address Line | 2302 SHOEMAKER DR # B
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City | KILLEEN
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State | TX
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Zip | 76543-3164
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Country | US
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Telephone | 317-835-6053
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 82073
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC-883
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License Number State | HI
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