Andrew Leo Gray, LAPC | |
1574 Williamson Rd, Griffin, GA 30224-3931 | |
(770) 358-5252 | |
Not Available |
Full Name | Andrew Leo Gray |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1574 Williamson Rd, Griffin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932575016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | APC006913 (Georgia) | Primary |
Entity Name | Dekalb Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099 |
Mailing Address | Practice Location Address |
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Andrew Leo Gray, LAPC 746 Kelleytown Rd, Mcdonough, GA 30252-3910 Ph: (770) 957-4894 | Andrew Leo Gray, LAPC 1574 Williamson Rd, Griffin, GA 30224-3931 Ph: (770) 358-5252 |
Ms. Joyce Christine Darden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1574 Williamson Rd, Griffin, GA 30224 Phone: 770-358-8381 | |
Tanya Lamar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Johnson Pool Rd, Griffin, GA 30223 Phone: 470-278-7039 | |
Brenda Kaylene Twilley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 W College St Ste D, Griffin, GA 30224 Phone: 678-688-3133 | |
Aaron Blake Hayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 N Expressway, Griffin, GA 30223 Phone: 678-408-4622 | |
Mr. Sean Andrew Drop, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 N Expressway Ste B, Griffin, GA 30223 Phone: 678-408-4622 Fax: 678-688-8164 | |
Kimberly Puzio, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 W College St Ste D, Griffin, GA 30224 Phone: 678-688-3133 | |
Jacob Gilbreath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 W College St Ste D, Griffin, GA 30224 Phone: 678-688-3133 |