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General NPI Number Information
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NPI Number | 1720362718
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Entity Type | Individual
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Provider Name | MONICA RENEA GRAY L.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 9300 JOHN HICKMAN PKWY STE 801
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City | FRISCO
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State | TX
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Zip | 75035-5913
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Country | US
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Telephone | 817-618-6001
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Fax | 469-405-6565
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Provider Business Mailing Address
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Address Line | 1201 FREESIA DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-4658
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Country | US
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Telephone | 469-708-7046
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Fax | 469-405-6565
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 50478
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 50478
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License Number State | TX
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