| A Gentle Journey Corportation | |
|
211 E 4th St Russellville AR 72801-5133 | |
| (479) 223-0326 | |
| Not Available |
| Full Name | A Gentle Journey Corportation |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 211 E 4th St, Russellville, Arkansas |
| Authorized Official Name and Position | Sherry Tatman (PRESIDENT) |
| Authorized Official Contact | 4792230326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Gentle Journey Corportation 363 Sagewood Ln Russellville AR 72802-6918 Ph: () - | A Gentle Journey Corportation 211 E 4th St Russellville AR 72801-5133 Ph: (479) 223-0326 |
| NPI Number | 1053839837 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 08/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053839837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | P1705309 (Arkansas) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | P1705309 (Arkansas) | Primary |
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