Provider Demographics
NPI:1023219920
Name:MCVAY, MICHEAL RAY (LCPC)
Entity Type:Individual
Prefix:MR
First Name:MICHEAL
Middle Name:RAY
Last Name:MCVAY
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-2942
Mailing Address - Country:US
Mailing Address - Phone:785-460-2530
Mailing Address - Fax:785-460-4699
Practice Address - Street 1:765 SUNSET DR
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-2942
Practice Address - Country:US
Practice Address - Phone:785-460-2530
Practice Address - Fax:785-460-4699
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCPC 073101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional