Gentle Waters, Pllc | |
133 W Springbrook Rd Broadway VA 22815-9527 | |
(540) 692-0225 | |
(540) 896-7687 |
Full Name | Gentle Waters, Pllc |
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Speciality | Counselor - Mental Health |
Location | 133 W Springbrook Rd, Broadway, Virginia |
Authorized Official Name and Position | Deveney Quinney (SOLE MEMBER) |
Authorized Official Contact | 5406920225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gentle Waters, Pllc 95 Park Way Front Royal VA 22630-5014 Ph: (540) 692-0225 | Gentle Waters, Pllc 133 W Springbrook Rd Broadway VA 22815-9527 Ph: (540) 692-0225 |
NPI Number | 1639906530 |
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Provider Enumeration Date | 09/16/2024 |
Last Update Date | 09/16/2024 |
Certification Date | 09/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639906530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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