Individual provider · Type 1 NPI
Amber Deneen Gray, PhD, DBH, CDVC, CVIS
Community/Behavioral Health Agency · Lake Elsinore, CA
Practice location
52997 Carrousel Ct
Lake Elsinore, CA 92532-7511
Other practice locations
- 52997 Carrousel Ct, Lake Elsinore, CA 92532-7511 · (909) 419-3311
- 52997 Carrousel Ct, Lake Elsinore, CA 92532-7511 · (909) 419-3311
- 52997 Carrousel Ct, Lake Elsinore, CA 92532-7511 · (909) 419-3311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 28400 (CA) |
| Prevention Professional | 405300000X | N37-48-4108 (CA) |
| Prevention Professional | 405300000X | N37-048-4108 (CA) |
| Community/Behavioral Health Agency Primary | 251S00000X | N37-048-4108 (CA) |
| Health Service Clinic/Center | 261QH0100X | 025255 (CA) |
| Research Clinic/Center | 261QR1100X | 025255 (CA) |
| Rural Health Clinic/Center | 261QR1300X | 025255 (CA) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | N37-048-4108 (CA) |
| Home Health Aide | 374U00000X | 28400 (CA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 28400 (CA) |
| Professional Counselor | 101YP2500X | N37-048-4108 (CA) |
| Forensic Psychologist | 103TF0200X | 28400 (CA) |
| Community Health Worker | 172V00000X | 025255 (CA) |
| Health Educator | 174H00000X | 025255 (CA) |
| Case Management Agency | 251B00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
About NPI 1760670350
Amber Deneen Gray, PhD, DBH, CDVC, CVIS's National Provider Identifier is 1760670350, issued on Oct 9, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Aug 21, 2025.