MEDICARE: CASSAUNDRA GRAY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC007492	GA

General Provider Information

NPI Number	:	1497176515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSAUNDRA GRAY LPC

Provider Business Mailing Address
First Line	:	3645 MARKETPLACE BLVD
Second Line	:	SUITE 130-129
City	:	ATLANTA
State	:	GA
Zip	:	30344-5747
Country	:	US
Telephone Number	:	770-899-6462
Fax Number	:

Provider Business Practice Location Address
First Line	:	3645 MARKETPLACE BLVD
Second Line	:	SUITE 130-129
City	:	ATLANTA
State	:	GA
Zip	:	30344-5747
Country	:	US
Telephone Number	:	770-899-6462
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2013
Last Update Date	:	12/16/2013

Similar Medicare Providers

1063281228 — SYDNEY RAGLAND
Practice Location Address:

3645 MARKETPLACE BLVD STE 130715
ATLANTA, GA
30344-5747

Practice Phone: 404-444-3416
Practice Fax:

1013366319 — LATESSA L ROBY LCSW
Practice Location Address:

3645 MARKETPLACE BLVD # 130-198
ATLANTA, GA
30344-5747

Practice Phone: 402-517-0289
Practice Fax:

1740592575 — DR. PATRICIA AYOOLA OYETAKIN M.D.
Practice Location Address:

5730 GLENRIDGE DR STE T100
ATLANTA, GA
30328-5747

Practice Phone: 404-939-9220
Practice Fax: 470-312-2157

1033572078 — DOROTHY RODENBECK FERNANDEZ MD
Practice Location Address:

5730 GLENRIDGE DR STE T100
ATLANTA, GA
30328-5747

Practice Phone: 404-939-9220
Practice Fax:

1508639220 — RAKSHNI KOKILAKUMAR
Practice Location Address:

5730 GLENRIDGE DR STE T100
ATLANTA, GA
30328-5747

Practice Phone: 404-939-9220
Practice Fax:

1508934191 — OZITA DAREACE COOPER MD
Practice Location Address:

3645 MARKETPLACE BLVD
EAST POINT, GA
30344-5747

Practice Phone: 833-633-3632
Practice Fax:

Directions to “ CASSAUNDRA GRAY LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.