Leanora T Gray, LLC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451022356 Issued in MI

Practice address

20411 W. Twelve Mild Rd.
St. #104
Southfield, MI 48076-5414

Phone

(248) 617-7545

Fax

(248) 856-3801

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1093440091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 EDGEMONT DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332219",
            "telephone_number": "313-505-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20411 W. TWELVE MILD RD.",
            "address_2": "ST. #104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765414",
            "telephone_number": "248-617-7545",
            "fax_number": "248-856-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LEANORA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LLC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breonha Gray
• Connor Gray
• Denise Gray, MD
• Emily Michelle Gray
• Karen E Gray, MSN, RN, CS, ONC
• Precious Gray
• Brenna Grazioli
• Great American Associates LLC (Grant pharmacy LTC)
• Great American Associates LLC (Grant Pharmacy)
• Great Expressions Dental Centers Douglas Dziuba DDS Inc (Great Expression Dental Centers)

• Mental Health Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.