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Organization
RAY OF LIGHT BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization
RAY OF LIGHT BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESENIA GARCIA LCSW (PSYCHOTHERAPIST)
(312) 404-7221
Entity
Organization
Contact information
Practice address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(312) 404-7221
Mailing address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(312) 404-7221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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