Provider Demographics
NPI:1184755175
Name:GRAY, CARLA H (LPC)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:H
Last Name:GRAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 AUDRIA DR
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9043
Mailing Address - Country:US
Mailing Address - Phone:828-337-3089
Mailing Address - Fax:828-225-4822
Practice Address - Street 1:1340 PATTON AVE STE H
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2623
Practice Address - Country:US
Practice Address - Phone:828-225-4980
Practice Address - Fax:828-225-4822
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6468101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional