Ray, Mia

Ray, Mia is an sole proprietor health care provider with primary practice located at 204 Hampton Dr , Venice CA 90291-8633. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ray, Mia can be contacted via phone (626) 265-0750.

Contact Information

Primary practice address
204 Hampton Dr Venice CA 90291-8633
Phone: (626) 265-0750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT133704 California

Profile Details

NPI number 1245847029
LBN Legal business name Ray, Mia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2020
Last updated Jan 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245847029 NPPES
California Other 01536011 MEDI-CAL

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