Gaines, Michelle Lee

Gaines, Michelle Lee is an sole proprietor health care provider with primary practice located at 2801 Parklawn Dr Ste 303 , Midwest City OK 73110-4230. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gaines, Michelle Lee can be contacted via phone (405) 610-3644.

Contact Information

Primary practice address
2801 Parklawn Dr Ste 303 Midwest City OK 73110-4230
Phone: (405) 610-3644
Fax: (405) 610-3647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0089 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X 0089 Oklahoma

Profile Details

NPI number 1013245364
LBN Legal business name Gaines, Michelle Lee
Credentials MA, LBP, CCRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2009
Last updated Dec 30th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013245364 NPPES
Oklahoma MEDICAID 200330740B

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