Gaines, Jovanna Omari Wilson

Gaines, Jovanna Omari Wilson is an individual health care provider with primary practice located at 3278 Mitchell Blvd , Moody Afb GA 31699. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gaines, Jovanna Omari Wilson can be contacted via phone (910) 394-4700.

Contact Information

Primary practice address
3278 Mitchell Blvd Moody Afb GA 31699
Phone: (910) 394-4700
Fax: (910) 394-4711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 070002-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7893 Oklahoma
Behavioral Health & Social Service Providers / Clinical 1041C0700X 070002 New York

Profile Details

NPI number 1407830615
LBN Legal business name Gaines, Jovanna Omari Wilson
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Aug 28th, 2023 - about last year

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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