SAMMY G GRAY LADC
NPI 1053641159
Counselor - Addiction (Substance Use Disorder) in Tishomingo, OK

Q: What is Sammy Gray's NPI number?

The NPI number for Sammy Gray is 1053641159. It was assigned to this individual provider in the NPPES registry on January 12, 2010.

Q: What is Sammy Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Sammy Gray was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2010

4900 W ACORN RD, TISHOMINGO, OK 73460(580) 220-5850 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sammy G Gray Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMMY G GRAY LADC (NPI 1053641159) is an individual addiction (substance use disorder) provider in Tishomingo, Oklahoma and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1053641159

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameSAMMY G GRAYCredential: LADC

Location Address4900 W ACORN RDTishomingo, OK 73460-4801

Mailing Address4900 W Acorn RdTishomingo, OK 73460-4801 · (580) 220-5850

Phone(580) 220-5850

Sole ProprietorYes

Enumeration DateJanuary 12, 2010

✔ NPI 1053641159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

4900 W ACORN RD, Tishomingo, OK 73460

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLA M GRAY BHRS

Behavior Analyst

4900 W ACORN RD
TISHOMINGO, OK 73460

Johnston County (580) 220-1360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sammy Gray's NPI number?

The NPI number for Sammy Gray is 1053641159. It was assigned to this individual provider in the NPPES registry on January 12, 2010.

Where is Sammy Gray located?

Sammy Gray practices at 4900 W Acorn Rd, Tishomingo, OK 73460. The listed phone number is (580) 220-5850.

What is Sammy Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sammy Gray was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.