Individual provider · Type 1 NPI

Susan Genevieve Gray, LPT-A

Mental Health Counselor · Fort Worth, TX

NPI number 1083306948 Active

Practice location

1100 W 5th St Apt 944
Fort Worth, TX 76102-3571

Call (469) 938-9987 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X103688 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1083306948

Susan Genevieve Gray, LPT-A's National Provider Identifier is 1083306948, issued on May 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 11, 2026.