Gazaway, Gina Renae

Gazaway, Gina Renae is an sole proprietor health care provider with primary practice located at 2208 Midland Rd , Pinehurst NC 28374-8208. 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. Gazaway, Gina Renae can be contacted via phone (910) 634-0022.

Contact Information

Primary practice address
2208 Midland Rd Pinehurst NC 28374-8208
Phone: (910) 634-0022
Fax: (910) 401-1774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8111 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 8111 North Carolina

Profile Details

NPI number 1912297565
LBN Legal business name Gazaway, Gina Renae
Credentials MA, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2011
Last updated Nov 20th, 2017 - about 8 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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