Wray, Andre D

Wray, Andre D is an sole proprietor health care provider with primary practice located at 13320 Pike Lake Drive , Riverview FL 33579-4039. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Wray, Andre D can be contacted via phone (813) 819-1910.

Contact Information

Primary practice address
13320 Pike Lake Drive Riverview FL 33579-4039
Phone: (813) 819-1910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X Florida
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1689376766
LBN Legal business name Wray, Andre D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2023
Last updated Mar 21st, 2023 - about 3 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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