Individual provider · Type 1 NPI

Nicole Marie Gray, LPCC

Professional Counselor · Mentor, OH

NPI number 1104167113 Active

Practice location

7541 Mentor Ave # A104
Mentor, OH 44060-5431

Call (440) 968-6341 Map

Fax (440) 431-3830

Mailing address

6700 Beta Dr, Suite 301
Mayfield Village, OH 44143-2363

Other practice locations

  • 6700 Beta Dr, Suite 301, Mayfield Village, OH 44143-2363 · (440) 446-9696

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.0004187 (OH)

Professional Counselor: Definition to come...

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About NPI 1104167113

Nicole Marie Gray, LPCC's National Provider Identifier is 1104167113, issued on Mar 15, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mentor, OH. The record was last updated on Dec 3, 2025.