DR. GENEVA MARIE GRAY PHD LPC NCC CPCS NPI 1003068529

NPI Information

NPI: 1003068529
Provider Name: DR. GENEVA MARIE GRAY, PHD, LPC, NCC, CPCS
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2330 SCENIC HWY S
SUITE 115
SNELLVILLE, GA
ZIP 30078
Phone: (770) 559-9919
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DR. Geneva Marie Gray, PHD, LPC, NCC, CPCS is a counselor in Snellville, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. DR. Geneva Marie Gray, PHD, LPC, NCC, CPCS NPI is 1003068529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2330 SCENIC HWY S
SUITE 115
SNELLVILLE, GA
ZIP 30078-115
Phone: (770) 559-9919
Fax: (404) 891-5095

The enumeration date for this NPI number is 10/15/2008 and was last updated on 8/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		0004236	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	922721756B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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