| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LATISHA GRAY | 1598491532 | 2022-07-30 |
Latisha Gray is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598491532. Registration indicates Latisha Gray is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Latisha Gray MFT-INTERN |
| Practice Office Address | 1707 VILLAGE CENTER CIR STE 200 LAS VEGAS, NV US |
| Practice Office Telephone | 7257352700 |
| Mailing Address | 11344 BELMONT LAKE DR UNIT 103 LAS VEGAS, NV 891351366 US |
| Business Telephone | 7026770563 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | MI4207
NV |
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 07126-1
NV |