Gray, Julie Beth

Gray, Julie Beth is an sole proprietor health care provider with primary practice located at 1337 Gusdorf Road Suite E, Taos NM 87571. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gray, Julie Beth can be contacted via phone (575) 758-4297.

Contact Information

Primary practice address
1337 Gusdorf Road Suite E Taos NM 87571
Phone: (575) 758-4297
Fax: (575) 751-7237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X M-06154 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-06154 New Mexico

Profile Details

NPI number 1932262235
LBN Legal business name Gray, Julie Beth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Aug 12th, 2015 - about 9 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 1932262235 NPPES
New Mexico MEDICAID 26523779

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