Provider Demographics
NPI:1063400018
Name:GREGORY, KAY H (LPC)
Entity type:Individual
Prefix:MRS
First Name:KAY
Middle Name:H
Last Name:GREGORY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 S DAY ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5583
Mailing Address - Country:US
Mailing Address - Phone:979-830-7124
Mailing Address - Fax:979-830-7124
Practice Address - Street 1:2211 S DAY ST
Practice Address - Street 2:SUITE 405
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5583
Practice Address - Country:US
Practice Address - Phone:979-830-7124
Practice Address - Fax:979-830-7124
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9013101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health