Gaines, Michael Dan

Gaines, Michael Dan is an sole proprietor health care provider with primary practice located at 2944 Ray Weiland Dr , Baker LA 70714-3250. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gaines, Michael Dan can be contacted via phone (225) 636-2638.

Contact Information

Primary practice address
2944 Ray Weiland Dr Baker LA 70714-3250
Phone: (225) 636-2638
Fax: (225) 778-5068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1656 Louisiana
Agencies / Community/Behavioral Health 251S00000X Louisiana

Profile Details

NPI number 1255340832
LBN Legal business name Gaines, Michael Dan
Credentials MSW, LCSW, BCD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Aug 28th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255340832 NPPES
Louisiana MEDICAID 1438341

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