Gaines, La-Toya Shannelle

Gaines, La-Toya Shannelle is an sole proprietor health care provider with primary practice located at 29532 Southfield Rd Suite #101, Southfield MI 48076-2023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gaines, La-Toya Shannelle can be contacted via phone (313) 449-3913.

Contact Information

Primary practice address
29532 Southfield Rd Suite #101 Southfield MI 48076-2023
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301015276 Michigan
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301015276 Michigan

Profile Details

NPI number 1356678320
LBN Legal business name Gaines, La-Toya Shannelle
Credentials PSY.D. L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2009
Last updated Apr 20th, 2016 - about 9 years ago

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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