Provider Demographics
NPI:1053141325
Name:RAYS OF HOPE MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:RAYS OF HOPE MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:GILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:443-420-8391
Mailing Address - Street 1:3159 PINE ORCHARD LN APT 302
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-4223
Mailing Address - Country:US
Mailing Address - Phone:443-420-8391
Mailing Address - Fax:
Practice Address - Street 1:3159 PINE ORCHARD LN APT 302
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-4223
Practice Address - Country:US
Practice Address - Phone:443-420-8391
Practice Address - Fax:443-240-6123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty