Provider Demographics
NPI:1730593039
Name:JEFFREY P RAY LMHC CAP CSAT LLC
Entity type:Organization
Organization Name:JEFFREY P RAY LMHC CAP CSAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CAP,CSAT
Authorized Official - Phone:561-707-6591
Mailing Address - Street 1:1199 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3137
Mailing Address - Country:US
Mailing Address - Phone:561-707-6591
Mailing Address - Fax:888-820-1824
Practice Address - Street 1:1860 OLD OKEECHOBEE RD STE 300
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5224
Practice Address - Country:US
Practice Address - Phone:561-707-6591
Practice Address - Fax:888-820-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty