Organization
GAINES THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDI GAINES (LCMHC/PROVIDER)
(704) 672-4655
Entity
Organization
Contact information
Practice address
104 WAXHAW PROFESSIONAL PARK DR STE D, WAXHAW, NC 28173-5020
(704) 748-0735
Mailing address
PO BOX 470164, CHARLOTTE, NC 28247-0164
(704) 672-4655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
06/29/2021
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