| Gray Counseling Services Pllc | |
|
180 Main St Calhoun KY 42327 | |
| (270) 273-3050 | |
| (270) 273-3052 |
| Full Name | Gray Counseling Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 180 Main St, Calhoun, Kentucky |
| Authorized Official Name and Position | Annie Gray-dalton (OWNER/THERAPIST) |
| Authorized Official Contact | 2702733050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Counseling Services Pllc Po Box 654 Calhoun KY 42327-0654 Ph: (270) 273-3050 | Gray Counseling Services Pllc 180 Main St Calhoun KY 42327 Ph: (270) 273-3050 |
| NPI Number | 1972970846 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 08/27/2015 |
| Medicare PECOS PAC ID | 8022324995 |
|---|---|
| Medicare Enrollment ID | O20150909000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972970846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3795 (Kentucky) | Primary |
| Provider Name | Annie R Gray-dalton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922433291 PECOS PAC ID: 6507091253 Enrollment ID: I20131105000654 |
Owensboro Health Medical Group, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 E 2nd St, Calhoun, KY 42327 Phone: 270-273-3293 Fax: 270-273-3294 |