Peck, Rayven

Peck, Rayven is an sole proprietor health care provider with primary practice located at 303 S State Hwy 78 #100, Wylie TX 75098. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Peck, Rayven can be contacted via phone (806) 993-3333.

Contact Information

Primary practice address
303 S State Hwy 78 #100 Wylie TX 75098
Phone: (806) 993-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X RBT-18-58017 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 88446 Texas

Profile Details

NPI number 1316426315
LBN Legal business name Peck, Rayven
Credentials LPC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2018
Last updated Apr 6th, 2022 - 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 1316426315 NPPES
Texas Other RBT-18-58017 BACB

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