Grayson, Marilyn Lorraine
Grayson, Marilyn Lorraine is an sole proprietor health care provider with primary practice located at 3636 Menaul Blvd Ne Suite 206, Albuquerque NM 87110-2871. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grayson, Marilyn Lorraine can be contacted via phone (505) 255-5905.Contact Information
Primary practice address
3636 Menaul Blvd Ne Suite 206
Albuquerque NM 87110-2871
Phone: (505) 255-5905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 643 | New Mexico |
Profile Details
| NPI number | 1831101294 |
|---|---|
| LBN Legal business name | Grayson, Marilyn Lorraine |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831101294 | NPPES |
| New Mexico | MEDICAID | Z6156 |
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