MRS. KELLY WOOD GREY (NPI# 1720280605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720280605 |
| Entity Type | Individual |
| Full Name | MRS. KELLY WOOD GREY |
| Credential | NCC, LPC, LCAS |
| Practice Address |
220 George W Liles Pkwy Nw Concord NC 28027-6531 |
| Practice Telephone | 9806227399 |
| Mailing Telephone | 9806227399 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2010-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
882 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4505 | NC | Behavioral Health & Social Service Providers |
| Street Address |
220 GEORGE W LILES PKWY NW |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710293436 | Jacqueline Kelly | Marriage & Family Therapist | 220 George W Liles Pkwy Nw, Concord, NC 28027-6531 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844273 | Michael Frost Lynch | Counselor | 23 Crest St, Concord, MA 01742-3006 | 2020-09-08 |
| 1487263281 | Tara Burgess | Counselor | 357 Nashawtuc Rd, Concord, MA 01742-1616 | 2020-07-28 |
| 1245861533 | Christine Marie Perez | Counselor | 1333 Willow Pass Rd Ste 2100, Concord, CA 94520-7930 | 2020-01-27 |
| 1649814104 | Live Your Life Clt Counseling Pllc | Counselor | 185 Church St Ne, Concord, NC 28025-4761 | 2019-10-28 |
| 1194368902 | Dara Michelle Brenner | Counselor | 66 Commonwealth Ave, Concord, MA 01742-2974 | 2019-10-24 |
| 1316593379 | Courtney J Cupelo | Counselor | 90 Airport Rd Unit 22, Concord, NH 03301-5356 | 2019-08-15 |
| 1689131104 | Baljeet Kaur Heyer | Counselor | 1486 Fox Hollow Ct, Concord, CA 94521-2521 | 2019-02-21 |
| 1679037774 | Jill C Resch | Counselor | 284 Executive Park Dr Ste 160, Concord, NC 28025-1836 | 2019-01-23 |
| 1114491412 | Eileen Ann English | Counselor | 2 Concord Greene Unit 2, Concord, MA 01742-3186 | 2019-01-20 |
| 1598239352 | Stuart Scott | Counselor | 259 S Main St, Concord, NH 03301-3405 | 2019-01-15 |
| Find all providers in CONCORD | ||||
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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.