Shantra Beane Gray's National Provider Identifier (NPI) Details
Shantra Beane Gray, LPC, LCAS
NPI: 1063634442
Enumeration Date: 2007-05-03
Last updated: 2010-09-30
Sole Proprietor: NO
Status: active
Postal Address: 5807 HARVEST SPRINGS DRIVE, GREENSBORO, NC
Phone: 336-963-4517
Primary Practice Address: 3821 FORRESTGATE DR, DBA FORSYTH BEHAVIOR HEALTH, WINSTON SALEM, NC
Practice's phone: 336-277-1811