Provider Demographics
NPI:1811032576
Name:GRAY, INGRID BRITT (LPC)
Entity Type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:BRITT
Last Name:GRAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:INGRID
Other - Middle Name:BRITT
Other - Last Name:HENRICHSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5005 CORAL CREEK DRIVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-1832
Mailing Address - Country:US
Mailing Address - Phone:817-238-6618
Mailing Address - Fax:
Practice Address - Street 1:3620 NORTH JOSEY LANE STE 114
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3157
Practice Address - Country:US
Practice Address - Phone:972-394-2137
Practice Address - Fax:972-492-7865
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60412101Y00000X
NC6585101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor