| NPI | 1972702223 |
|---|---|
| Doing Business As | DR GAYLE MICHAEL CRAVENS |
| Entity Type | Organization |
| Authorized Contact | GAYLE MICHAEL CRAVENS Owner 731-608-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2023-07-19 |