Bray, Gary Steven

Bray, Gary Steven is an individual health care provider with primary practice located at Blackwater Stop Camp 2451 Stop Camp Road, Milton FL 32570-9111. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bray, Gary Steven can be contacted via phone (850) 957-0995.

Contact Information

Primary practice address
Blackwater Stop Camp 2451 Stop Camp Road Milton FL 32570-9111
Phone: (850) 957-0995
Fax: (850) 957-1000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 7729 Florida

Profile Details

NPI number 1154512473
LBN Legal business name Bray, Gary Steven
Credentials M. S,, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 31st, 2011 - about 13 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 1154512473 NPPES
Florida MEDICAID 765922900

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