Provider Demographics
NPI:1265955306
Name:HORNSBY, GAYNELL J (MA)
Entity type:Individual
Prefix:MRS
First Name:GAYNELL
Middle Name:J
Last Name:HORNSBY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6033 STONEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-5528
Mailing Address - Country:US
Mailing Address - Phone:225-288-6978
Mailing Address - Fax:
Practice Address - Street 1:6033 STONEVIEW AVE
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-5528
Practice Address - Country:US
Practice Address - Phone:225-288-6978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health