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

Sammy G Gray, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053641159

Sammy G Gray, LADC is an Addiction (Substance Use Disorder) Counselor in Tishomingo, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

4900 W Acorn Rd
Tishomingo, OK 73460-4801
Phone: (580) 220-5850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1053641159
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorYes
NPI enumeratedJanuary 12, 2010
Last updated in NPPESJanuary 12, 2010
Mailing address4900 W Acorn Rd, Tishomingo, OK 73460-4801

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