| Gentles Couseling Services | |
|
100 Grove St Ste 119 Worcester MA 01605-2630 | |
| (774) 420-2060 | |
| (774) 530-6023 |
| Full Name | Gentles Couseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 Grove St Ste 119, Worcester, Massachusetts |
| Authorized Official Name and Position | Tanieka Annaliecia Gentles (OWNER) |
| Authorized Official Contact | 7742420312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentles Couseling Services 100 Grove St Ste 119 Worcester MA 01605-2630 Ph: (774) 420-2060 | Gentles Couseling Services 100 Grove St Ste 119 Worcester MA 01605-2630 Ph: (774) 420-2060 |
| NPI Number | 1508616046 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508616046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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