Search › Georgia › 1041C0700X
Jovanna Gaines, LCSW
NPI 1407830615 · on the registry since 2005
Practice
- Address
- 3278 Mitchell Blvd
Moody Afb, GA 31699 - Phone
- (910) 394-4700
- Fax
- (910) 394-4711
- Organisation at this address
- 23d Medgrp-Moody
23d Medgrp-Moody
Mindfulness ExpressionsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 96
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X - Licence states on file
- NY, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia