| Destini Gray, | |
|
1075 Light Blvd, Forest, VA 24551-5094 | |
| (434) 384-1594 | |
| Not Available |
| Full Name | Destini Gray |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 1075 Light Blvd, Forest, Virginia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013888429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Secondary |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| Entity Name | Light Counseling, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154422764 PECOS PAC ID: 1052702065 Enrollment ID: O20211230001526 |
| Mailing Address | Practice Location Address |
|---|---|
| Destini Gray, 131 Town Center Pkwy Apt 2404, Madison Heights, VA 24572-5469 Ph: Not Available | Destini Gray, 1075 Light Blvd, Forest, VA 24551-5094 Ph: (434) 384-1594 |
Pius Asamoah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Brook Park Pl Ste A1, Forest, VA 24551 Phone: 434-533-1088 Fax: 434-664-1177 |
Ms. Meredith Ryan Smith, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1443 Crossings Center Dr Ste A, Forest, VA 24551 Phone: 434-219-5621 |
Jason Banks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Brook Park Pl Ste A1, Forest, VA 24551 Phone: 434-533-1088 Fax: 434-664-1177 |
Krystal Frailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Gristmill Dr, Forest, VA 24551 Phone: 434-202-4080 |
Haley Latta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Gristmill Dr, Forest, VA 24551 Phone: 434-202-4080 |
Brittany L Finch, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1047 Vista Park Dr Ste A, Forest, VA 24551 Phone: 434-616-2388 Fax: 434-616-2344 |
Debra Lynn Crowder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1443 Crossings Center Dr Ste A, Forest, VA 24551 Phone: 434-219-5621 |