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Organization
LAVON M. GAINEY
Active
Organization
LAVON M. GAINEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVON MORRIS GAINEY LMHC (CLINICAL DIRECTOR)
(407) 284-8005
Entity
Organization
Contact information
Practice address
11265 ALUMNI WAY, JACKSONVILLE, FL 32246-6685
(904) 518-6090
Mailing address
3401 VOLLEY CT, JACKSONVILLE, FL 32277-9345
(407) 284-8005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH13303
MENTAL HEALTH THERAPIST
FL
Enumeration date
06/24/2016
Last updated
12/27/2018
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