Provider Demographics
NPI:1073611752
Name:GRAY, SHEILA (LPC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:GRAY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 MONMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-2755
Mailing Address - Country:US
Mailing Address - Phone:865-640-2332
Mailing Address - Fax:855-300-3555
Practice Address - Street 1:2900 TAZEWELL PIKE STE G
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1880
Practice Address - Country:US
Practice Address - Phone:865-640-2332
Practice Address - Fax:855-300-3555
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional