Healthcare Provider Details

I. General information

NPI: 1629337019
Provider Name (Legal Business Name): DELILAH WRIGHT-GRAYER LPCCS/ CDCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date: 02/26/2013
Reactivation Date: 05/22/2013

III. Provider practice location address

3330 WARRENSVILLE CENTER RD 407
SHAKER HEIGHTS OH
44122-3795
US

IV. Provider business mailing address

3530 WARRENSVILLE CENTER RD 101D
SHAKER HEIGHTS OH
44122-5278
US

V. Phone/Fax

Practice location:
  • Phone: 216-751-8221
  • Fax:
Mailing address:
  • Phone: 216-751-8221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: