Provider Demographics
NPI:1659032654
Name:GRAY, DANEILLE (LMFT)
Entity type:Individual
Prefix:DR
First Name:DANEILLE
Middle Name:
Last Name:GRAY
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7824 CROSSING TRL
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-2070
Mailing Address - Country:US
Mailing Address - Phone:954-326-1707
Mailing Address - Fax:
Practice Address - Street 1:173 SAINT PATRICKS DR STE 104
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5530
Practice Address - Country:US
Practice Address - Phone:423-464-6064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist