Dr Colleen J Gray, EDD, LPC, CAADC | |
1147 Raleigh Way, Lawrenceville, GA 30043-5227 | |
(215) 360-7322 | |
Not Available |
Full Name | Dr Colleen J Gray |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1147 Raleigh Way, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497519847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC009664 (Georgia) | Primary |
Entity Name | Georgia Mountains Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063522035 PECOS PAC ID: 8921094400 Enrollment ID: O20040421000783 |
Mailing Address | Practice Location Address |
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Dr Colleen J Gray, EDD, LPC, CAADC 1147 Raleigh Way, Lawrenceville, GA 30043-5227 Ph: () - | Dr Colleen J Gray, EDD, LPC, CAADC 1147 Raleigh Way, Lawrenceville, GA 30043-5227 Ph: (215) 360-7322 |
Ms. Katherine Anne Sturgis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 Fax: 678-212-6350 | |
Johnny Lee Mitchell Jr., LCSW Counselor Medicare: Medicare Enrolled Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2411 | |
John Troy Mcqueen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 685 Rosedown Way, Lawrenceville, GA 30043 Phone: 678-925-4545 | |
Fatima Flynn, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 | |
Mrs. Christy Hall Wages, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 Scenic Hwy, Suite 100, Lawrenceville, GA 30045 Phone: 770-995-1846 Fax: 770-995-6614 | |
Angella Bramwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 770-339-2395 Fax: 678-990-3997 | |
Jenna Spears, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 Old Peachtree Rd Ne, Lawrenceville, GA 30043 Phone: 678-634-9237 |