Individual provider · Type 1 NPI

Travis Gray

Mental Health Counselor · Lighthouse Point, FL

NPI number 1104372440 Active

Practice location

3640 N Federal Hwy Ste B3
Lighthouse Point, FL 33064-6648

Call (954) 599-8946 Map

Mailing address

3640 N. Federal Hwy B3 #128
Lighthouse Point, FL 33064

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH13085 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1104372440

Travis Gray's National Provider Identifier is 1104372440, issued on Aug 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lighthouse Point, FL. The record was last updated on Aug 28, 2016.