Grubbs, Raymond L

Grubbs, Raymond L is an individual health care provider with primary practice located at 1515 Mockingbird Ln Suite 412, Charlotte NC 28209-3236. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Grubbs, Raymond L can be contacted via phone (704) 523-5252.

Contact Information

Primary practice address
1515 Mockingbird Ln Suite 412 Charlotte NC 28209-3236
Fax: (704) 523-5251
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 650 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 650 North Carolina

Profile Details

NPI number 1265422539
LBN Legal business name Grubbs, Raymond L
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 2007 - about 17 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 1265422539 NPPES
North Carolina Other 12622 BLUE CROSS BLUE SHIELD

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