Lavon M. Gainey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LAVON M. GAINEY

Practice address

11265 Alumni Way
Jacksonville, FL 32246-6685

Phone

(904) 518-6090

NPI assigned

Jun 24, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lavon Morris Gainey, LMHC

Title

Clinical Director

Phone

(407) 284-8005

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lavon M Gainey3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lavon M. Gainey

  dba Quality Life Center of Jacksonville

  • Mental Illness Community Based Residential Treatment Facility
  • Jacksonville, FL
  • NPI 1396298915
  NPD tax ID
• Marlyn Enterprises of Jacksonville, Inc.

  dba Quality Life Center

  • Community/Behavioral Health Agency
  • Orange Park, FL
  • NPI 1952074510
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1093166613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 VOLLEY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322779345",
            "telephone_number": "407-284-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11265 ALUMNI WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466685",
            "telephone_number": "904-518-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVON M. GAINEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "GAINEY",
        "authorized_official_first_name": "LAVON",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-284-8005",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH THERAPIST",
            "identifier": "MH13303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlyn Claire Yap Lavilla, M.D
• Zenaida L Lavina, MD
• Victoria Kay Lavine, PHARMD
• Kelly A Lavista, LCSW
• Kyle Lavoie, PTA
• Lavon M. Gainey (Quality Life Center of Jacksonville)
• Louis Vincent Lavopa, M.D.
• Andrea N Law
• Zharia Natalia Law
• Devin Lawhorne

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.