Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1194489609 |
| LBN Legal business name | GRAY MATTER COUNSELING SERVICES, INC. |
| Authorized official | AMANDA COLEMAN - (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/30/2021 |
| Last updated | 10/30/2021 - About 5 years ago |
| Identifiers | n/a |
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