Carolyn Gaines in Durango - Mental Health

Carolyn Gaines - NPI 1154515807

Carolyn Gaines is a Mental Health in Durango, Colorado. Carolyn Gaines practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Carolyn Gaines is 1154515807. The last update date is 2017-04-12.

Carolyn Gaines's current location address is 185 Suttle St, Durango, Colorado. You can contact this provider via phone number 9703352444 and fax number 9703352440. The mailing address for Carolyn Gaines is 185 Suttle St, Durango, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn Gaines
Address 185 Suttle St, Durango, Colorado
Phone Number 9703352444
Fax Number 9703352440
Sole Proprietor N
Credentials LPC, LPCC

NPI Number Detail

NPI Number 1154515807
Provider Enumeration Date 2007-09-05
Last Updated Date 2017-04-12

Provider Mailing Address Detail

Address 185 Suttle St
City Durango
State Colorado (CO)
Post Code 813038276
Phone Number 9703352444
Fax Number 9703352440

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 12840
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12840 CO COLORADO LPC LICENSE NUMBER
96351 NM LICENSURE

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FAQs about Carolyn Gaines

What is the unique identifier code issued to Carolyn Gaines by the Centers for Medicare & Medicaid Services?

The Carolyn Gaines has been assigned the NPI (National Provider Identifier) 1154515807. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Carolyn Gaines located?

The Carolyn Gaines is located at 185 Suttle St, Durango, CO 813038276.

What is Carolyn Gaines's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carolyn Gaines's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154515807 to Carolyn Gaines?

The Centers for Medicare & Medicaid Services originally issued the 1154515807 to Carolyn Gaines on 2007-09-05.

As of what date was the information pertaining to Carolyn Gaines, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carolyn Gaines, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-12.

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