Healthcare Provider Details

I. General information

NPI: 1861353005
Provider Name (Legal Business Name): DESIREE MCCRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 12/31/2025
Certification Date: 11/18/2025
Deactivation Date: 11/25/2025
Reactivation Date: 12/31/2025

III. Provider practice location address

6500 EMERALD PKWY STE 100
DUBLIN OH
43016-6236
US

IV. Provider business mailing address

6500 EMERALD PKWY STE 100
DUBLIN OH
43016-6236
US

V. Phone/Fax

Practice location:
  • Phone: 704-631-6167
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: