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General NPI Number Information
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NPI Number | 1083577183
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Entity Type | Organization
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Legal Business Name | GRAY THERAPY SOLUTIONS LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7541 MENTOR AVE # A104
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City | MENTOR
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State | OH
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Zip | 44060-5431
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Country | US
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Telephone | 440-968-6341
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Fax | 440-431-3830
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Provider Business Mailing Address
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Address Line | 7541 MENTOR AVE # A104
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City | MENTOR
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State | OH
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Zip | 44060-5431
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Country | US
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Telephone | 440-968-6341
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Fax | 440-431-3830
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE GRAY
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Credential | LPCC
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Telephone | 440-968-6341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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