Healthcare Provider Details

I. General information

NPI: 1164550315
Provider Name (Legal Business Name): VONDA J. GRAY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 THOMPSON LN
NASHVILLE TN
37204-3616
US

IV. Provider business mailing address

4001 ANDERSON RD UNIT A134
NASHVILLE TN
37217-4714
US

V. Phone/Fax

Practice location:
  • Phone: 615-460-4479
  • Fax: 615-460-4432
Mailing address:
  • Phone: 615-365-7237
  • Fax: 615-460-4432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: