=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316610025
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIKA KAELA GRAY LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2021
-----------------------------------------------------
Last Update Date | 07/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4110 INDEPENDENCE DR STE 100
-----------------------------------------------------
City | SCHNECKSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18078-2582
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-276-4646
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4110 INDEPENDENCE DR STE 100
-----------------------------------------------------
City | SCHNECKSVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18078-2582
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-554-6310
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------