DR. TARA GRAY COUNSELING & WELLNESS NPI 1972012490

NPI Information

NPI: 1972012490
Provider Name: DR. TARA GRAY COUNSELING & WELLNESS
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
618 MOUNTAIN VILLAGE BLVD # 203C
MOUNTAIN VILLAGE, CO
ZIP 81435
Phone: (970) 769-9472
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DR. TARA GRAY COUNSELING & WELLNESS is a professional counselor in Mountain Village, CO. DR. TARA GRAY COUNSELING & WELLNESS NPI is 1972012490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

618 MOUNTAIN VILLAGE BLVD # 203C
MOUNTAIN VILLAGE, CO
ZIP 81435-541
Phone: (970) 769-9472

The provider's authorized official is Tara M Gray .
The authorized official title is Dr./ceo and has the following contact phone number (970) 769-9472.

The enumeration date for this NPI number is 9/27/2017 and was last updated on 9/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC.0012261	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1649637331	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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