| Doctor Name: | MS. GAIL BROOKLIN EAVES |
| NPI Number: | 1134393440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | A11176 |
| Business Practice Address: | 513 S Main St Ste 200 Reidsville, NC - 273205007 |
| Business Phone Number: | 3364327400 |
| Business Fax Number: | |
| Mailing Address: | 513 South Main Street Suite 200, REIDSVILLE |
| State: | NC |
| Postal Code: | 27320 |
| Phone Number: | 3364327400 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A11176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |