Gray, Brian Lee

Gray, Brian Lee is an sole proprietor health care provider with primary practice located at 1513 E 9Th St , Lynn Haven FL 32444-2901. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gray, Brian Lee can be contacted via phone (850) 265-1940.

Contact Information

Primary practice address
1513 E 9Th St Lynn Haven FL 32444-2901
Phone: (850) 265-1940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X MH 13230 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH 13230 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 13230 Florida

Profile Details

NPI number 1760738306
LBN Legal business name Gray, Brian Lee
Credentials MA MS M DIV RMHCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2012
Last updated Mar 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760738306 NPPES
Florida Other MH 13230 LICENSED MENTAL HEALTH COUNSELOR

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