Individual
DANA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 ROYER LN, HAMPTON, GA 30228-6068
(318) 364-7793
Mailing address
3709 ROYER LN, HAMPTON, GA 30228-6068
(318) 364-7793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1316161854
LA
104100000X
Social Worker
Primary
MSW011113
GA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316161854
—
LA
Enumeration date
08/24/2016
Last updated
05/06/2026
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