Provider Demographics
NPI:1609596022
Name:THERAPY GAINES COUNSELING, PLLC
Entity Type:Organization
Organization Name:THERAPY GAINES COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JALAYNA
Authorized Official - Middle Name:DICKERSON
Authorized Official - Last Name:GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-286-5951
Mailing Address - Street 1:2000 E. LAMAR BLVD.
Mailing Address - Street 2:STE. 600 PMB #129
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006
Mailing Address - Country:US
Mailing Address - Phone:817-286-5951
Mailing Address - Fax:
Practice Address - Street 1:2000 E. LAMAR BLVD.
Practice Address - Street 2:STE. 600 PMB #129
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006
Practice Address - Country:US
Practice Address - Phone:817-286-5951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty