Gray Therapy Group, Pllc | |
2501 Chatham Rd Ste N Springfield IL 62704-4188 | |
(847) 834-9189 | |
Not Available |
Full Name | Gray Therapy Group, Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 2501 Chatham Rd Ste N, Springfield, Illinois |
Authorized Official Name and Position | Marissa Gray (PSYCHOTHERAPIST) |
Authorized Official Contact | 5134072244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gray Therapy Group, Pllc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (847) 834-9189 | Gray Therapy Group, Pllc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (847) 834-9189 |
NPI Number | 1003512112 |
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Provider Enumeration Date | 02/01/2023 |
Last Update Date | 03/20/2023 |
Certification Date | 03/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003512112 | NPI | - | NPPES |
UNKNOWN | Other | IL | BLUE CROSS BLUE SHIELD |
UNKNOWN | Other | IL | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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