Cara Jean Gray, L.C.S.W., LLC
Organization Active NPI Community/Behavioral Health Agency · Brunswick, GA
NPI 1699201756 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1699201756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- CSW006049 (GA)
- Legal business name
- CARA JEAN GRAY, L.C.S.W., LLC
- Practice address
- 1606 Gloucester St
Brunswick, GA 31520-7145 - Phone
- (912) 506-1163
- NPI assigned
- May 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Carajean Gray, LCSW
- Title
- Owner
- Phone
- (912) 506-1163
National Provider Directory
Locations
1613 Union St
Brunswick, GA 31520
Phone (912) 264-1841
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CSW006049 | GA | Yes |
Addresses
Primary practice location
1606 Gloucester St
Brunswick, GA 31520-7145
Mailing address
141 Walden Shores LN
Brunswick, GA 31525-4673
Phone (912) 506-1163
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All providers in Brunswick, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. 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.