Provider Demographics
NPI:1013533900
Name:GRAY, WHITNEY (LMHC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
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:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:ARNOLDS PARK
Mailing Address - State:IA
Mailing Address - Zip Code:51331-0025
Mailing Address - Country:US
Mailing Address - Phone:712-260-3117
Mailing Address - Fax:
Practice Address - Street 1:2230 33RD ST STE 8
Practice Address - Street 2:
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-7632
Practice Address - Country:US
Practice Address - Phone:712-260-3117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health