| Lavon M. Gainey | |
|
11265 Alumni Way Jacksonville FL 32246-6685 | |
| (904) 518-6090 | |
| Not Available |
| Full Name | Lavon M. Gainey |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11265 Alumni Way, Jacksonville, Florida |
| Authorized Official Name and Position | Lavon Morris Gainey (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4072848005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lavon M. Gainey 3401 Volley Ct Jacksonville FL 32277-9345 Ph: (407) 284-8005 | Lavon M. Gainey 11265 Alumni Way Jacksonville FL 32246-6685 Ph: (904) 518-6090 |
| NPI Number | 1093166613 |
|---|---|
| Provider Enumeration Date | 06/24/2016 |
| Last Update Date | 12/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093166613 | NPI | - | NPPES |
| MH13303 | Other | FL | MENTAL HEALTH THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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