MEDICARE: SHEILA GRAY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	1898	TN

General Provider Information

NPI Number	:	1073611752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA GRAY LPC

Provider Business Mailing Address
First Line	:	3218 MONMOUTH ST
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37917-2755
Country	:	US
Telephone Number	:	865-640-2332
Fax Number	:	855-300-3555

Provider Business Practice Location Address
First Line	:	2900 TAZEWELL PIKE STE G
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-1880
Country	:	US
Telephone Number	:	865-640-2332
Fax Number	:	855-300-3555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/23/2025

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Directions to “ SHEILA GRAY LPC” Practice Location

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