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General NPI Number Information
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NPI Number | 1679478689
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Entity Type | Organization
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Legal Business Name | GREY WELLNESS
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 3242 PROVIDER WAY
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City | GERMANTOWN
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State | MD
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Zip | 20874-7214
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Country | US
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Telephone | 240-688-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 3242 PROVIDER WAY
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City | GERMANTOWN
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State | MD
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Zip | 20874-7214
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Country | US
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Telephone | 240-688-9066
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MONICA GREY
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Credential | LCPC
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Telephone | 240-203-8879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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