| Gentille Counseling Services, Pc | |
|
19420 Golf Vista Plz Ste 350 Lansdowne VA 20176-8268 | |
| (703) 869-4633 | |
| (571) 410-0204 |
| Full Name | Gentille Counseling Services, Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 19420 Golf Vista Plz Ste 350, Lansdowne, Virginia |
| Authorized Official Name and Position | Allison Dawn Gentille (OWNER) |
| Authorized Official Contact | 7038694633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentille Counseling Services, Pc 19420 Golf Vista Plz Ste 350 Lansdowne VA 20176-8268 Ph: (703) 869-4633 | Gentille Counseling Services, Pc 19420 Golf Vista Plz Ste 350 Lansdowne VA 20176-8268 Ph: (703) 869-4633 |
| NPI Number | 1265103824 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 10/05/2021 |
| Certification Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265103824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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