Provider Demographics
NPI:1629337019
Name:WRIGHT-GRAYER, DELILAH (LPCCS/ CDCA)
Entity Type:Individual
Prefix:
First Name:DELILAH
Middle Name:
Last Name:WRIGHT-GRAYER
Suffix:
Gender:F
Credentials:LPCCS/ CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 WARRENSVILLE CENTER RD
Mailing Address - Street 2:101D
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5278
Mailing Address - Country:US
Mailing Address - Phone:216-751-8221
Mailing Address - Fax:
Practice Address - Street 1:3330 WARRENSVILLE CENTER RD
Practice Address - Street 2:407
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-3795
Practice Address - Country:US
Practice Address - Phone:216-751-8221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2013-05-22
Deactivation Date:2013-02-26
Deactivation Code:
Reactivation Date:2013-05-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist