| Gentle Waters, Pllc | |
|
133 W Springbrook Rd Broadway VA 22815-9527 | |
| (540) 692-0225 | |
| (540) 896-7687 |
| Full Name | Gentle Waters, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 133 W Springbrook Rd, Broadway, Virginia |
| Authorized Official Name and Position | Deveney Quinney (SOLE MEMBER) |
| Authorized Official Contact | 5406920225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 6305377631 |
|---|---|
| Medicare Enrollment ID | O20241007000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639906530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Deveney Quinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831944271 PECOS PAC ID: 7214468552 Enrollment ID: I20241007000957 |
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