Provider Demographics
NPI:1013428218
Name:GAINES, APRIL BARNES (MA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:BARNES
Last Name:GAINES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:SHANIECE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:4178 PETROLEUM DR
Mailing Address - Street 2:
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78230
Mailing Address - Country:US
Mailing Address - Phone:210-539-9567
Mailing Address - Fax:
Practice Address - Street 1:4178 PETROLEUM DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-539-9567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor