Provider Demographics
NPI:1003186271
Name:GRAY, ERIN PATRICIA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:PATRICIA
Last Name:GRAY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 SO ORANGE AVENUE
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771
Mailing Address - Country:US
Mailing Address - Phone:407-302-8622
Mailing Address - Fax:407-330-5244
Practice Address - Street 1:101 TIMBERLACHEN CIRCLE
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-302-8622
Practice Address - Fax:407-330-5244
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health