Gray, Geneva Marie

Gray, Geneva Marie is an individual health care provider with primary practice located at 2330 Scenic Hwy S Suite 115, Snellville GA 30078-3115. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gray, Geneva Marie can be contacted via phone (770) 559-9919.

Contact Information

Primary practice address
2330 Scenic Hwy S Suite 115 Snellville GA 30078-3115
Phone: (770) 559-9919
Fax: (404) 891-5095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0004236 Georgia

Profile Details

NPI number 1003068529
LBN Legal business name Gray, Geneva Marie
Credentials PHD, LPC, NCC, CPCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Aug 28th, 2012 - about 12 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 1003068529 NPPES
Georgia MEDICAID 922721756B

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