MR. TRENT R. GRAY LCPC
NPI 1720554736
Counselor - Mental Health in Meridian, ID
Active since October 17, 2018
About Mr. Trent R. Gray Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TRENT R. GRAY LCPC (NPI 1720554736) is an individual mental health provider in Meridian, Idaho, licensed in Idaho (LCPC-6714) and active in the NPI registry since October 2018.
NPPES Registry Identity
NPI1720554736
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TRENT R. GRAYCredential: LCPC
Location Address403 W CHERRY LNMeridian, ID 83642-1610
Mailing Address2254 N Viewhill AveMeridian, ID 83646-3794 · (208) 401-8229
Phone(208) 887-1911
Fax(208) 895-8049
Sole ProprietorYes
Enumeration DateOctober 17, 2018
✔ NPI 1720554736 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC-6714
403 W CHERRY LN, Meridian, ID 83642
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720554736, enumerated as an "individual" on October 17, 2018.
The provider is located at 403 W CHERRY LN MERIDIAN, ID 83642 and the phone number is (208) 887-1911.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.