Organization
MICHAEL GAINES AND FAITH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAN GAINES LCSW (DIRECTOR)
(225) 636-2638
Entity
Organization
Contact information
Practice address
2944 RAY WEILAND DR, BAKER, LA 70714-3250
(225) 636-2638
(225) 778-5068
Mailing address
PO BOX 157, BAKER, LA 70704-0157
(225) 636-2638
(225) 778-5068
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1656
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1438341
—
LA
Enumeration date
01/08/2013
Last updated
09/26/2016
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