MEDICARE: MICHELLE GRAY M.S.

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	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1679406425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE GRAY M.S.

Provider Business Mailing Address
First Line	:	1017 BEECHWOOD DR
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-8662
Country	:	US
Telephone Number	:	940-222-9128
Fax Number	:

Provider Business Practice Location Address
First Line	:	2012 KENNY RD FL 2
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-3502
Country	:	US
Telephone Number	:	614-293-6694
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ MICHELLE GRAY M.S.” Practice Location

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