Healthcare Provider Details

I. General information

NPI: 1871392712
Provider Name (Legal Business Name): GAIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6022 ARBOR CV
LITTLE ROCK AR
72209-2702
US

IV. Provider business mailing address

712 W 3RD ST STE 100
LITTLE ROCK AR
72201-2221
US

V. Phone/Fax

Practice location:
  • Phone: 501-379-4246
  • Fax:
Mailing address:
  • Phone: 501-379-4246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HAYLEY HOGUE
Title or Position: CLINICAL DIRECTOR
Credential: LPC
Phone: 501-379-4246