Erica Sullivan Gaines, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001420 Issued in GA

Practice address

108 Byrd Way
Suite 400
Warner Robins, GA 31088

Phone

(478) 953-0330

Fax

(478) 953-0368

NPI assigned

Aug 16, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Regeneration Project LLC

  • Community/Behavioral Health Agency
  • Warner Robins, GA
  • NPI 1336308501
  NPD

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508382037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BYRD WAY STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889195",
            "telephone_number": "478-953-0330",
            "fax_number": "478-953-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BYRD WAY",
            "address_2": "SUITE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-953-0330",
            "fax_number": "478-953-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "ERICA",
        "middle_name": "SULLIVAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selvi Fults, NP-C
• Daniel Oliver Fussell, M.D.
• Melvin Lee Christopher Fussell, M.D.
• Ga Doctors of Optometry LLC
• Shunvonda Gadson
• Robert R Gamboa
• Gamma Adult Care, P.C.
• Dasia Jenae Gant
• Maria Gracia Garcia Rodriguez, PT, DPT
• Felisha Garcia, PSY.D.

• Marriage & Family Therapist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.