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NPI Code Detail

MEDICARE: N'KIA GRAY LPC-ASSOCIATE

MEDICARE: N'KIA GRAY LPC-ASSOCIATE
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
1101YP2500XProfessional Counselor99472TX

General Provider Information

NPI Number : 1518896455
Entity Type Code : Individual
Provider Name (Legal Business Name) : N'KIA GRAY LPC-ASSOCIATE
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 832-255-2375
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 832-255-2375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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