Gary Russel Gray in Dunedin - Mental Health
Gary Russel Gray - NPI 1629028675
Gary Russel Gray is a Mental Health in Dunedin, Florida. Gary Russel Gray practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gary Russel Gray is 1629028675. The last update date is 2012-06-26.
Gary Russel Gray's current location address is 2188 Eisenhower Dr, Dunedin, Florida. You can contact this provider via phone number 7274213014. The mailing address for Gary Russel Gray is 2188 Eisenhower Dr, Dunedin, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary Russel Gray |
---|---|
Address | 2188 Eisenhower Dr, Dunedin, Florida |
Phone Number | 7274213014 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MA, LMHC |
NPI Number Detail
NPI Number | 1629028675 |
---|---|
Provider Enumeration Date | 2006-05-11 |
Last Updated Date | 2012-06-26 |
Provider Mailing Address Detail
Address | 2188 Eisenhower Dr |
---|---|
City | Dunedin |
State | Florida (FL) |
Post Code | 346985633 |
Phone Number | 7274213014 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
---|---|
Taxonomy | 101Ym0800X |
Licence No | MH 2804 FL |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
593631612 | FL | EMPLOYER TAX ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Russel Gray?
The Gary Russel Gray has been issued the NPI (National Provider Identifier) 1629028675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Gary Russel Gray is physically located?
The Gary Russel Gray is physically situated at the following address: 2188 Eisenhower Dr, Dunedin, FL, 346985633.
What is Gary Russel Gray's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary Russel Gray's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629028675 to Gary Russel Gray?
The Centers for Medicare & Medicaid Services originally issued the 1629028675 to Gary Russel Gray on 2006-05-11.
As of what date was the information pertaining to Gary Russel Gray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Russel Gray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-26.