Claxton, Gina Marie
Claxton, Gina Marie is an individual health care provider with primary practice located at 4404 South Florida Avenue Suite 301, Lakeland FL 33813-4053. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Claxton, Gina Marie can be contacted via phone (863) 709-8110.Contact Information
Primary practice address
4404 South Florida Avenue Suite 301
Lakeland FL 33813-4053
Phone: (863) 709-8110
Fax: (863) 709-8118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW13791 | Florida |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1306266507 |
|---|---|
| LBN Legal business name | Claxton, Gina Marie |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2014 |
| Last updated | Sep 1st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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