| Grays Group, LLC | |
|
2320 Wrightsboro Rd Augusta GA 30904-6233 | |
| (706) 394-5073 | |
| Not Available |
| Full Name | Grays Group, LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2320 Wrightsboro Rd, Augusta, Georgia |
| Authorized Official Name and Position | Helen Belinda Norris (OFFICE MANAGER) |
| Authorized Official Contact | 7063733178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grays Group, LLC 2313 Moncrieff St Augusta GA 30906-8908 Ph: (706) 394-5073 | Grays Group, LLC 2320 Wrightsboro Rd Augusta GA 30904-6233 Ph: (706) 394-5073 |
| NPI Number | 1083211502 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083211502 | NPI | - | NPPES |
| 003129469A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Primary |
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