MEDICARE: MELISSA GRAY

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	101YS0200X	School Counselor	236547	MI
2	101YP2500X	Professional Counselor	6401011043	MI

General Provider Information

NPI Number	:	1407154404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA GRAY

Provider Business Mailing Address
First Line	:	44899 CENTRE CT STE 101
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-5510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44899 CENTRE CT
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48038-5510
Country	:	US
Telephone Number	:	586-690-8331
Fax Number	:

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

Provider Enumeration Date	:	03/01/2011
Last Update Date	:	01/20/2026

Similar Medicare Providers

1316803232 — TAYLOR GONZALES
Practice Location Address:

44899 CENTRE CT
CLINTON TOWNSHIP, MI
48038-5510

Practice Phone: 586-792-1654
Practice Fax:

1588520407 — WAYNEISHA COOK
Practice Location Address:

44899 CENTRE CT
CLINTON TOWNSHIP, MI
48038-5510

Practice Phone: 586-792-1654
Practice Fax:

1730227828 — MRS. PATRICIA A. DEVINE REGISTERED NURSE
Practice Location Address:

44899 CENTRE CT
CLINTON TOWNSHIP, MI
48038-5510

Practice Phone: 586-792-1654
Practice Fax: 586-792-1656

1528266913 — MS. ALLISON BEZRUCZKO MA, LPC
Practice Location Address:

44899 CENTRE CT STE 102
CLINTON TOWNSHIP, MI
48038-5510

Practice Phone: 586-792-1654
Practice Fax:

1588845903 — MS. KELLIE FERRELL
Practice Location Address:

44899 CENTRE CT STE 102
CLINTON TOWNSHIP, MI
48038-5510

Practice Phone: 586-792-1654
Practice Fax: 586-792-1656

1376709048 — MS. KALA RENEE RICHARDS LLMSW
Practice Location Address:

44899 CENTRE CT
CLINTON TOWNSHIP, MI
48038-5510

Practice Phone: 586-792-1654
Practice Fax: 586-792-1656

Directions to “ MELISSA GRAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.