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NPI Code Detail

MEDICARE: RAY OF HOPE COUNSELING PLLC

MEDICARE: RAY OF HOPE COUNSELING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1184305773
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAY OF HOPE COUNSELING PLLC
Provider Business Mailing Address
First Line : 3408 WILLOW LN
Second Line :
City : BEDFORD
State : TX
Zip : 76021-2828
Country : US
Telephone Number : 817-614-6254
Fax Number :
Provider Business Practice Location Address
First Line : 2911 TURTLE CREEK BLVD STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75219-6243
Country : US
Telephone Number : 817-614-6254
Fax Number :
Authorized Official
Title or Position : LPC/COUNSELOR
Name : KRISTINA ELISABETH SMITH
Credential : LPC
Telephone Number : 817-614-6254
Provider Enumeration Date : 07/27/2023
Last Update Date : 07/27/2023

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Directions to “RAY OF HOPE COUNSELING PLLC ” Practice Location

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