Organization · NPI-2

A Ray Of Light PLLC

Social Worker, Clinical · Raleigh, NC

NPI number1821944166
StatusActive
Last updated in NPPESMar 9, 2026

Details

NPI
1821944166
Entity type
Organization (NPI-2)
Legal business name
A Ray Of Light PLLC
Organization subpart
No
Enumeration date
Mar 9, 2026
Certification date
Mar 9, 2026
Last updated
Mar 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010

Phone 252-689-7424 · Fax 252-631-0687

Mailing address

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010

Phone 252-689-7424 · Fax 252-631-0687

Authorized official

Dominique Latrece Squire
Licensed Clinical Social Worker Ceo
9194237483

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