Provider Demographics
NPI:1568358075
Name:GRAY DAY COUNSELING
Entity type:Organization
Organization Name:GRAY DAY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIERRA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:313-301-3546
Mailing Address - Street 1:4500 BLUE STEM APT 15107
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-1767
Mailing Address - Country:US
Mailing Address - Phone:313-301-3546
Mailing Address - Fax:
Practice Address - Street 1:4500 BLUE STEM APT 15107
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-1767
Practice Address - Country:US
Practice Address - Phone:313-301-3546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty