MELISSA GRAY (NPI# 1407154404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407154404 |
| Entity Type | Individual |
| Full Name | MELISSA GRAY |
| Other Name | MELISSA FAKULT |
| Practice Address |
13101 Allen Rd Southgate MI 48195-2216 |
| Mailing Address |
44899 Centre Ct Suite# 101 Clinton Twp MI 48038-5510 |
| Practice Telephone | 7347857700 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2013-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401011043 | MI | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
236547 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104263524 | Melissa C Gray | Licensed Practical Nurse | 4839 Redman Rd, Brockport, NY 14420-9612 | 2013-05-24 |
| 1285986158 | Melissa June Gray | Physical Therapy Assistant | 14528 Harli Ln, Oklahoma City, OK 73170-7293 | 2012-10-02 |
| 1881915783 | Melissa Gray | Counselor | 325 S University Rd Ste 202, Spokane Valley, WA 99206-5227 | 2010-06-15 |
| 1730332271 | Melissa Hillary Gray | Social Worker | 1078 E 73rd St Unit 81, Brooklyn, NY 11234-5337 | 2008-10-28 |
| 1437109774 | Melissa H Gray | Physical Therapist | 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577-1663 | 2006-05-10 |
| 1225641079 | Melissa Gray | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-08-30 |
| 1912562208 | Melissa Gray | Massage Therapist | 2730 Observatory Ave, Cincinnati, OH 45208-2108 | 2019-05-02 |
| 1457839219 | Melissa Marie Gray | Nurse Practitioner | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2018-08-03 |
| 1811406291 | Melissa Eva Gray | Case Manager/Care Coordinator | 3830 Lamson St, Saginaw, MI 48601-4169 | 2017-09-28 |
| 1215298849 | Melissa C Gray | Family Medicine | 902 W Washington St, Athens, AL 35611-2438 | 2012-05-30 |
| Street Address |
13101 ALLEN RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801835004 | Lisa K Filary | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2006-06-05 |
| 1821696477 | Michelle Mary Wilson | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-10-15 |
| 1851908214 | Amanda Renae Meyers | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-29 |
| 1811504558 | Auburn Elswick | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-27 |
| 1740895341 | Katelyn Marie Yaczik | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-10 |
| 1780295352 | Lilliana Kesseler | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-08-16 |
| 1093331290 | Hannah Langlois | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-06-23 |
| 1790306835 | Heather Lynn Sandoval | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-04-29 |
| 1609404292 | Amber R Bussell | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-03-30 |
| 1093340077 | Erica R Davis | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235663998 | Ashley Framalin | Counselor | 13099 Allen Rd, Building #3, Southgate, MI 48195-3099 | 2017-04-19 |
| 1073633228 | Patricia Ann Donald | Counselor | 19265 Northline Rd, Southgate, MI 48195-2220 | 2007-03-30 |
| 1558487637 | Sonia C. Fernandez | Counselor | 13101 Allen Rd Rm 310, Southgate, MI 48195-2216 | 2007-03-21 |
| 1235753500 | Cortney Ball | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2020-06-03 |
| 1205481264 | Tasha Jackson | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-08-07 |
| 1437701992 | Emily Wezner | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-07-15 |
| 1013579390 | Caitlin Witt | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2019-07-08 |
| 1346727344 | Latasha Y Chambliss-young | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2018-07-23 |
| 1841707262 | Wellness Counseling L.L.C. | Counselor | 1 Heritage Dr Ste 220, Southgate, MI 48195-3048 | 2018-01-08 |
| 1932612561 | Heather Spry | Counselor | 13305 Reeck Ct, Southgate, MI 48195-3197 | 2017-11-06 |
| Find all providers in SOUTHGATE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.