Gray, Deborah A
Gray, Deborah A is an sole proprietor health care provider with primary practice located at 2119 Riverwalk Dr # 218 , Moore OK 73160-2700. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gray, Deborah A can be contacted via phone (405) 799-7833.Contact Information
Primary practice address
2119 Riverwalk Dr # 218
Moore OK 73160-2700
Phone: (405) 799-7833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4096 | Oklahoma |
Profile Details
| NPI number | 1013121920 |
|---|---|
| LBN Legal business name | Gray, Deborah A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Oct 19th, 2009 - about 15 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 | 1013121920 | NPPES |
| Oklahoma | MEDICAID | 100735950 |
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