Dr Amber Deneen Gray, CHTVSP, CCFDVC, DBH is a
Community/behavioral Health based in Lake Elsinore, California. Dr Amber Deneen Gray is licensed to practice in California (license number N37-048-4108) and her current practice location is
Gray's Trauma-informed Care Services Corp, #1401, Lake Elsinore, California. She can be reached at her office (for appointments etc.) via phone at
(951) 382-4841.
NPI number for Dr Amber Deneen Gray is 1760670350 and her current mailing address is 52997 Carrousel Ct, Lake Elsinore, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760670350.
Healthcare Provider's Profile
| Full Name | Dr Amber Deneen Gray |
|---|
| Gender | Female |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | Gray's Trauma-informed Care Services Corp, Lake Elsinore, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1760670350
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 01/06/2024
Medical Identifiers
Medical identifiers for Dr Amber Deneen Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760670350 | NPI | - | NPPES |
| 28400 | Other | CA | NATIONAL ASSOCIATION OF FORENSIC COUNSELORS |
| 67040030471980 | Other | | IOM4 PROFESSIONAL DEVELOPMENT CONSULTATION |
| N37-048-4108 | Other | CA | NATIONAL ORGANIZATION FOR VICTIM ASSISTANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | N37-048-4108 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 28400 (California) | Secondary |
| 103TF0200X | Psychologist - Forensic | 28400 (California) | Secondary |
| 172V00000X | Community Health Worker | 025255 (California) | Secondary |
| 174H00000X | Health Educator | 025255 (California) | Secondary |
| 251B00000X | Case Management | (California) | Secondary |
| 261QH0100X | Clinic/center - Health Service | 025255 (California) | Secondary |
| 261QR1100X | Clinic/center - Research | 025255 (California) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 025255 (California) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | N37-048-4108 (California) | Secondary |
| 405300000X | Prevention Professional | N37-48-4108 (California) | Secondary |
| 251S00000X | Community/behavioral Health | N37-048-4108 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amber Deneen Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Amber Deneen Gray, CHTVSP, CCFDVC, DBH
52997 Carrousel Ct,
Lake Elsinore, CA 92532-7511
Ph: (951) 382-4841 | Dr Amber Deneen Gray, CHTVSP, CCFDVC, DBH
Gray's Trauma-informed Care Services Corp, #1401,
Lake Elsinore, CA 92530
Ph: (951) 382-4841 |
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