Provider Demographics
NPI:1528849460
Name:GAINEY-PEOPLES, VERONICA DETRI
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:DETRI
Last Name:GAINEY-PEOPLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VERONICA GAINEY-PEOPLES/ KELLEY CENTER
Mailing Address - Street 2:PO BOX 100547
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-0547
Mailing Address - Country:US
Mailing Address - Phone:843-598-0083
Mailing Address - Fax:
Practice Address - Street 1:142 N DARGAN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2500
Practice Address - Country:US
Practice Address - Phone:843-598-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional