Amy Gray Therriault, LCMHC, BSN, RN is a
Counselor - Mental Health based in Dunn, North Carolina. Amy Gray Therriault is licensed to practice in North Carolina (license number 17859) and her current practice location is
340 Sandy Ridge Rd, Dunn, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 665-3071.
NPI number for Amy Gray Therriault is 1427784370 and her current mailing address is 340 Sandy Ridge Rd, Dunn, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427784370.
Provider's Profile
| Full Name | Amy Gray Therriault |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 340 Sandy Ridge Rd, Dunn, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427784370
- Provider Enumeration Date: 07/25/2022
- Last Update Date: 04/07/2026
Medical Identifiers
Medical identifiers for Amy Gray Therriault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427784370 | NPI | - | NPPES |
| A17859 | Other | NC | NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 233656 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 17859 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Gray Therriault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amy Gray Therriault, LCMHC, BSN, RN 340 Sandy Ridge Rd, Dunn, NC 28334-8824 Ph: (252) 665-3071 | Amy Gray Therriault, LCMHC, BSN, RN 340 Sandy Ridge Rd, Dunn, NC 28334-8824 Ph: (252) 665-3071 |
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