Provider Demographics
NPI:1972164739
Name:GREY, MONICA MARIA BALLEN-SANCHEZ (LGPC)
Entity Type:Individual
Prefix:
First Name:MONICA MARIA
Middle Name:BALLEN-SANCHEZ
Last Name:GREY
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:MARIA
Other - Last Name:BALLEN SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8757 GEORGIA AVE FL 10
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3737
Mailing Address - Country:US
Mailing Address - Phone:301-557-1882
Mailing Address - Fax:
Practice Address - Street 1:8757 GEORGIA AVE FL 10
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3737
Practice Address - Country:US
Practice Address - Phone:301-557-1882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health