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NPI Code Detail

MEDICARE: RYAN GAINES COUNSELING LLC

MEDICARE: RYAN GAINES COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1083564025
Entity Type Code : Organization
Provider Name (Legal Business Name) : RYAN GAINES COUNSELING LLC
Provider Business Mailing Address
First Line : 2700 HIGHWAY 280 S STE 207W
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 HIGHWAY 280 S STE 207W
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2468
Country : US
Telephone Number : 205-905-7755
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RYAN GAINES
Credential : ALC
Telephone Number : 205-905-7755
Provider Enumeration Date : 01/30/2026
Last Update Date : 01/30/2026

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Directions to “RYAN GAINES COUNSELING LLC ” Practice Location

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