Gray, Dana
Gray, Dana is an sole proprietor health care provider with primary practice located at 114 Arbor Crk , Warner Robins GA 31093-8957. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gray, Dana can be contacted via phone (318) 364-7793.Contact Information
Primary practice address
114 Arbor Crk
Warner Robins GA 31093-8957
Phone: (318) 364-7793
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1316161854 | Louisiana |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | MSW011113 | Georgia |
Profile Details
NPI number | 1023563590 |
---|---|
LBN Legal business name | Gray, Dana |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 24th, 2016 |
Last updated | May 17th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023563590 | NPPES |
Louisiana | MEDICAID | 1316161854 |
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