Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mitchell G Grayson, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194080515

Mr. Mitchell G Grayson, LCDC is an Addiction (Substance Use Disorder) Counselor in Longview, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012

Practice location Address checks out

950 N 4th St
Longview, TX 75601-5436
Phone: (903) 758-0596
Fax: (903) 234-1639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11574 (TX)

Record details

NPI number1194080515
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESJuly 11, 2012
Mailing addressPo Box 6800, Longview, TX 75608-6800

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