Healthcare Provider Details

I. General information

NPI: 1144632662
Provider Name (Legal Business Name): TOUCHING HANDS HEALING HEARTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 BAY HARBOUR PL
BRANDON MS
39047-6108
US

IV. Provider business mailing address

PO BOX 321384
FLOWOOD MS
39232-1384
US

V. Phone/Fax

Practice location:
  • Phone: 601-574-0358
  • Fax: 769-572-5019
Mailing address:
  • Phone: 601-574-0358
  • Fax: 769-572-5019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number21681
License Number StateMS

VIII. Authorized Official

Name: DR. MICHELE J GAINS
Title or Position: MANAGING OWNER
Credential: M. D
Phone: 601-574-0358