Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANDERICO GRAY
Active Sole ProprietorSHANDERICO GRAY is a Mental Health Counselor healthcare provider located in CRESTVIEW, Florida. NPI 1689240707 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CRESTVIEW, FL
Registration Details
- NPI Number
- 1689240707
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2021 (5.0284888110427 yrs)
- Last Updated
- May 29, 2021
- License
-
PMH1761 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2802 TITLEIST LNCRESTVIEW, FL, 325398335Browse FL providers · Browse ZIP 32539
- Phone
- 2563656073
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in CRESTVIEW, FL
| Name | Credential | NPI |
|---|---|---|
| MR. RANDALL RICHARD LEGGETT | L.M.H.C. | 1942274857 |
| RAMONA JEANNE LILES-LEHNERT | LMHC | 1033123955 |
| LINDA CAVETT | LMHC | 1679673115 |
| MRS. MISTI D ANDERSON | MS, CAP, CMHP | 1114063187 |
| PROF. EILEEN LOUISE MOORE | MA, MS, LMHC | 1053580258 |
| MRS. BEVERLY H. BARBARISI | LMHC | 1952545360 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.