Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mia Ray

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245847029

Mia Ray is a Student in an Organized Health Care Education/Training Program in Venice, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

204 Hampton Dr
Venice, CA 90291-8633
Phone: (626) 265-0750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence AMFT133704 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245847029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2020
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address1625 Schrader Blvd, Los Angeles, CA 90028-6213

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