| Gaines Therapy Pllc | |
|
104 Waxhaw Professional Park Dr Ste D Waxhaw NC 28173-5020 | |
| (704) 748-0735 | |
| Not Available |
| Full Name | Gaines Therapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 104 Waxhaw Professional Park Dr Ste D, Waxhaw, North Carolina |
| Authorized Official Name and Position | Aldi Gaines (LCMHC/PROVIDER) |
| Authorized Official Contact | 7046724655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaines Therapy Pllc Po Box 470164 Charlotte NC 28247-0164 Ph: (704) 672-4655 | Gaines Therapy Pllc 104 Waxhaw Professional Park Dr Ste D Waxhaw NC 28173-5020 Ph: (704) 748-0735 |
| NPI Number | 1598362188 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598362188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Carolinas Healthcare System Neuosciences Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Providence Rd S, Waxhaw, NC 28173 Phone: 800-230-1721 Fax: 704-667-3479 | |
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El Rophe Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 S. Providence St., Waxhaw, NC 28173 Phone: 704-843-4818 Fax: 704-843-5111 | |
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