| Organization Name: | MICHAEL GAINES AND FAITH, LLC |
| NPI Number: | 1043557275 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL DAN GAINES (DIRECTOR) |
| Mailing Address: | 13888 Plank Rd Ste. B Baker |
| State: | LA US |
| Postal Code: | 707144929 |
| Phone Number: | 2256362638 |
| Fax Number: | 2253663230 |
| NPI Enumeration Date: | 01/08/2013 |
| NPI Last Update Date: | 01/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |