Gray, Ella L

Gray, Ella L is an individual health care provider with primary practice located at 4800 S Grand St , Monroe LA 71202-6412. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gray, Ella L can be contacted via phone (318) 362-3339.

Contact Information

Primary practice address
4800 S Grand St Monroe LA 71202-6412
Phone: (318) 362-3339
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3884 Louisiana

Profile Details

NPI number 1548522857
LBN Legal business name Gray, Ella L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jun 12th, 2012 - 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 1548522857 NPPES
Louisiana MEDICAID 72-6011595

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