RUSSELL GRAY


Address: 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324
Phone: 4048742224

RUSSELL GRAY (NPI# 1831633452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831633452
Entity Type Individual
Full Name RUSSELL GRAY
Other Name RUSTY GRAY
Credential L.P.C.
Practice Address 139 Renaissance Pkwy Ne
Atlanta
GA 30308-2324
Practice Telephone 4048742224
Practice Fax Number 4048742353
Mailing Telephone 4048742224
Mailing Fax Number 4048742353
Enumeration Date 2016-12-16
Last Update Date 2016-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC002699 GA Behavioral Health & Social Service Providers

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Office Location

Street Address 139 RENAISSANCE PKWY NE
City ATLANTA
State GA
Zip Code 30308-2324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902949712 St. Jude's Recovery Center, Inc. Substance Abuse Rehabilitation Facility 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 2007-02-14
1043759889 Amy Fossett Social Worker 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 2017-02-13
1023556917 Stuart Worth St.george Social Worker 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 2017-02-10
1942748991 Brittany Austin Marriage & Family Therapist 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 2017-02-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689285165 Grace Mckinnon Cutchin Speech-Language Pathologist 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 2020-08-10
1063033942 Life University Chiropractor 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 2020-05-01
1184254591 Jordan Cohen Specialist 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 2020-01-24
1104463819 Gary Sydney Koech IIi Registered Nurse Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 2019-12-02
1639728207 Shannon Oliver Sullivan Counselor 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 2019-09-06
1477110187 Ariel Alibey Preventive Medicine 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 2019-05-29
1972075497 Laura Mcrae Nurse Practitioner Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-21
1265902134 Kyle Brooks Kraft Nurse Practitioner 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-04
1396211025 Vita Judkins Pharmacist 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 2018-10-20
1407345911 Caitlin Cundiff Anesthesiology 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 2018-05-09
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1205444718 Vanessa Lorraine Elizabeth Johnson Counselor 1388 Gates Cir Se, Atlanta, GA 30316-4092 2020-07-21
1891303426 Cheryl E Williams Counselor 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 2020-07-20
1376161760 Lisa J Strube Counselor 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 2020-07-11
1881210201 Destiny Winters Counselor 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 2020-06-22
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Competitor

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City ATLANTA
Zip Code 30308

Improve Information

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Dataset Information

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.

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