Healthcare Provider Details

I. General information

NPI: 1922563741
Provider Name (Legal Business Name): MELISSA RACHELLE GAINEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 LEAPHART RD STE AA
WEST COLUMBIA SC
29169-3005
US

IV. Provider business mailing address

3214 LEAPHART RD STE AA
WEST COLUMBIA SC
29169-3005
US

V. Phone/Fax

Practice location:
  • Phone: 828-545-8465
  • Fax: 803-490-9634
Mailing address:
  • Phone: 828-545-8465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8776
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: