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
Phone: (313) 449-3913
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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