Gray, Laurence Burton

Gray, Laurence Burton is an sole proprietor health care provider with primary practice located at 400 N Broadway St , Moore OK 73160-4812. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gray, Laurence Burton can be contacted via phone (405) 735-4650.

Contact Information

Primary practice address
400 N Broadway St Moore OK 73160-4812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1093182339
LBN Legal business name Gray, Laurence Burton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2015
Last updated Aug 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093182339 NPPES
Oklahoma Other 83-0419474 OKLAHOMA FAMILY COUNSELING

Popular Providers