| Into The Gray Counseling And Consulting Llc | |
|
2139 Espey Court Suite 2 Crofton MD 21114 | |
| (202) 810-4148 | |
| Not Available |
| Full Name | Into The Gray Counseling And Consulting Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2139 Espey Court, Crofton, Maryland |
| Authorized Official Name and Position | Jomo Ekwenzi Gray (CO-OWNER) |
| Authorized Official Contact | 2406210215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Into The Gray Counseling And Consulting Llc 12138 Central Ave Ste 176 Mitchellville MD 20721-1910 Ph: (202) 810-4148 | Into The Gray Counseling And Consulting Llc 2139 Espey Court Suite 2 Crofton MD 21114 Ph: (202) 810-4148 |
| NPI Number | 1639758113 |
|---|---|
| Provider Enumeration Date | 04/03/2021 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639758113 | NPI | - | NPPES |
| 1043751217 | Other | NPPES |
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