| Doctor Name: | MR. MICHAEL DAN GAINES |
| NPI Number: | 1255340832 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW, BCD |
| License Number: | 1656 |
| Business Practice Address: | 13888 Plank Rd Suite B Baker, LA - 707144929 |
| Business Phone Number: | 2256362638 |
| Business Fax Number: | 2256362638 |
| Mailing Address: | Po Box 157, BAKER |
| State: | LA |
| Postal Code: | 707040157 |
| Phone Number: | 2253663230 |
| Fax Number: | 2256362638 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 02/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1656 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |