Provider Demographics
NPI:1447850854
Name:GRAY, MONICA (LPC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:GRAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 DELLWOOD FARM WAY
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1249
Mailing Address - Country:US
Mailing Address - Phone:917-846-2180
Mailing Address - Fax:
Practice Address - Street 1:12 DELLWOOD FARM WAY
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-1249
Practice Address - Country:US
Practice Address - Phone:917-846-2180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health