| Gentle River Healing Llc | |
|
11-2484 Kaleponi Road Volcano HI 96785 | |
| (551) 252-5152 | |
| Not Available |
| Full Name | Gentle River Healing Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11-2484 Kaleponi Road, Volcano, Hawaii |
| Authorized Official Name and Position | Alicia Lazenby (OWNER, THERAPIST) |
| Authorized Official Contact | 5512525152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle River Healing Llc 16-566 Keaau Pahoa Rd Ste 188-805 Keaau HI 96749-8137 Ph: () - | Gentle River Healing Llc 11-2484 Kaleponi Road Volcano HI 96785 Ph: (551) 252-5152 |
| NPI Number | 1669272191 |
|---|---|
| Provider Enumeration Date | 03/14/2025 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669272191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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