| Organization Name: | RAY OF LIGHT, LLC |
| NPI Number: | 1356796643 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH LONG (OWNER) |
| Mailing Address: | 415 S Dixie Dr Ste 1 Vandalia |
| State: | OH US |
| Postal Code: | 453772556 |
| Phone Number: | 9373141659 |
| Fax Number: | 9374248767 |
| NPI Enumeration Date: | 04/25/2016 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E. 0602164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |