MS. MARLISE V. GRAY (NPI# 1033696372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033696372 |
| Entity Type | Individual |
| Full Name | MS. MARLISE V. GRAY |
| Credential | M.ED., LPC, NCC |
| Practice Address |
2013 Devonshire Dr. Suite 115 Columbus GA 31904 |
| Practice Telephone | 7065766575 |
| Practice Fax Number | 7065070590 |
| Mailing Telephone | 7065766575 |
| Mailing Fax Number | 7065070590 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC003796 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NON-MEDICARE | 208008890 | 01 |
| Street Address |
2013 DEVONSHIRE DR. SUITE 115 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| 1992180087 | I V Care of Middle Georgia Inc | Clinic/Center | 6001 River Rd, Suite 411, Columbus, GA 31904 | 2015-07-30 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
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| 1689273534 | Stephanie Homan | Counselor | 317 E Royal Forest Blvd, Columbus, OH 43214-2129 | 2020-10-21 |
| 1497373575 | Mettle Services LLC | Counselor | 5120 Godown Rd, Columbus, OH 43220-7202 | 2020-07-06 |
| 1861017014 | Christine Sutton | Counselor | 2502 Middle View Dr, Columbus, IN 47201-1459 | 2020-06-13 |
| 1609499896 | Adrian D Wilson | Counselor | 3575 Macon Rd Ste 2, Columbus, GA 31907-8247 | 2020-05-21 |
| 1750902250 | Redefined LLC | Counselor | 2242 S Hamilton Rd Ste 208, Columbus, OH 43232-4300 | 2020-05-06 |
| 1164057113 | Starks Counseling and Consultation Services LLC | Counselor | 175 S. Third Street, Suite 200, Columbus, OH 43215-5194 | 2020-03-10 |
| 1457984171 | Kathleen Bell | Counselor | 4425 Bentwood Dr, Columbus, GA 31907-1832 | 2020-02-20 |
| 1306479860 | As You Are Housing for Teens | Counselor | 5875 Chantry Dr, Columbus, OH 43232-4764 | 2020-02-12 |
| 1417589185 | Bailey Ehlers | Counselor | 1441 Bethel Rd, Columbus, OH 43220-2001 | 2020-02-10 |
| 1720619372 | Aaron Saez | Counselor | 230 Fenway Rd, Columbus, OH 43214-1410 | 2020-02-03 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.