Individual
MRS. TONI LEE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC
Contact information
Practice address
244 W IRVINE ST, RICHMOND, KY 40475-1438
(502) 783-7573
Mailing address
244 W IRVINE ST, RICHMOND, KY 40475-1438
(502) 783-7573
(844) 822-8194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165754
KY
101YM0800X
Mental Health Counselor
Primary
171479
KY
101YM0800X
Mental Health Counselor
LPCA 1447
KY
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100436460
—
KY
Enumeration date
09/06/2012
Last updated
05/31/2025
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