Healthcare Provider Details

I. General information

NPI: 1639529308
Provider Name (Legal Business Name): JAMES GRAY M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4825 ALLIANCE BLVD STE 150
PLANO TX
75093-5577
US

IV. Provider business mailing address

1512 PRAIRIE DR
CARROLLTON TX
75007-1224
US

V. Phone/Fax

Practice location:
  • Phone: 844-824-8775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number202399
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number73467
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: