Provider Demographics
NPI:1477883403
Name:GRAY-BRITT, BEVERLY ANN (MA; LMHP-R)
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:ANN
Last Name:GRAY-BRITT
Suffix:
Gender:F
Credentials:MA; LMHP-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23702-3139
Mailing Address - Country:US
Mailing Address - Phone:757-956-5026
Mailing Address - Fax:804-980-7110
Practice Address - Street 1:1933 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23702-3139
Practice Address - Country:US
Practice Address - Phone:757-956-5026
Practice Address - Fax:804-980-7110
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2024-12-11
Deactivation Date:2023-04-12
Deactivation Code:
Reactivation Date:2024-11-25
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
VA0704016825101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health