Organization
INTO THE GRAY COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOMO EKWENZI GRAY PH.D. (CO-OWNER)
(240) 621-0215
Entity
Organization
Contact information
Practice address
2139 ESPEY COURT, SUITE 2, CROFTON, MD 21114
(202) 810-4148
Mailing address
12138 CENTRAL AVE STE 176, MITCHELLVILLE, MD 20721-1910
(202) 810-4148
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043751217
NPPES
—
Enumeration date
04/03/2021
Last updated
08/17/2022
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