| Gain, Inc. | |
|
712 W 3rd St Little Rock AR 72201-2220 | |
| (501) 379-4246 | |
| Not Available |
| Full Name | Gain, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 712 W 3rd St, Little Rock, Arkansas |
| Authorized Official Name and Position | Gaylon Drew Black (CFO) |
| Authorized Official Contact | 5013794249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gain, Inc. 712 W 3rd St Little Rock AR 72201-2220 Ph: (501) 379-4246 | Gain, Inc. 712 W 3rd St Little Rock AR 72201-2220 Ph: (501) 379-4246 |
| NPI Number | 1992885180 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 02/13/2019 |
| Medicare PECOS PAC ID | 4183904212 |
|---|---|
| Medicare Enrollment ID | O20190415002144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992885180 | NPI | - | NPPES |
| 127198726 | Medicaid | AR |
| Provider Name | Jeanette Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811493521 PECOS PAC ID: 4688621857 Enrollment ID: I20050411000603 |
| Provider Name | Leslie Gene Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881803203 PECOS PAC ID: 4880883099 Enrollment ID: I20110104000541 |
| Provider Name | Marsha Sproling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427208016 PECOS PAC ID: 6204172281 Enrollment ID: I20190111001632 |
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