Savannah L Gray
Individual provider Active NPI Professional Counselor · Augusta, WI
NPI 1669281218 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1669281218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 8237 (WI)
- Practice address
- 207 W Lincoln St Ste 1
Augusta, WI 54722-9162 - Phone
- (715) 286-6701
- Fax
- (715) 286-6018
- NPI assigned
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8237 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8237 | WI | Yes |
Addresses
Primary practice location
207 W Lincoln St Ste 1
Augusta, WI 54722-9162
Mailing address
15735 W US Highway 63
Hayward, WI 54843-6475
Phone (715) 934-0710
Other providers in Augusta, WI
- Mackenzie Rose Bauer
- Lacey Buchholtz
- Christman Family Dental SC
- Jordan Doyle
- Brian Evans
- Kayla M Hickok
- Chad Allan Johnson
- Dawn K Johnson
- Robert Sherman Merrill
- Moore Genuine Care, LLC
All providers in Augusta, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.