Healthcare Provider Details

I. General information

NPI: 1346365475
Provider Name (Legal Business Name): PATRICIA FRANCES GREY MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6470 N SHADELAND AVE SUITE C
INDIANAPOLIS IN
46220-4390
US

IV. Provider business mailing address

PO BOX 42
MORRIS IN
47033-0042
US

V. Phone/Fax

Practice location:
  • Phone: 317-849-9509
  • Fax: 317-841-1157
Mailing address:
  • Phone: 812-934-5266
  • Fax: 317-841-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number82801
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39000684A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS 0016384
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: