Provider Demographics
NPI:1902790678
Name:GRAY, JAYONA NASHAY (LMCHA)
Entity type:Individual
Prefix:
First Name:JAYONA
Middle Name:NASHAY
Last Name:GRAY
Suffix:
Gender:F
Credentials:LMCHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11807 DUANE POINT CIR APT 204
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1788
Mailing Address - Country:US
Mailing Address - Phone:765-461-6584
Mailing Address - Fax:
Practice Address - Street 1:202 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3420
Practice Address - Country:US
Practice Address - Phone:855-652-0546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN99129918A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health