Provider Demographics
NPI:1740517747
Name:GAINER BROOKS, JANE ELIZABETH (LPCC)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ELIZABETH
Last Name:GAINER BROOKS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:ELIZABETH
Other - Last Name:BLANKENSHIP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:419 11TH AVE W
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3029
Mailing Address - Country:US
Mailing Address - Phone:502-424-2930
Mailing Address - Fax:502-688-6652
Practice Address - Street 1:806 STONE CREEK PKWY STE 7
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-5394
Practice Address - Country:US
Practice Address - Phone:502-424-2930
Practice Address - Fax:502-688-6652
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0640101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional