Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Adolescent and Children Mental Health |
261QM0855X | |||
Adult Mental Health |
261QM0850X |
| NPI Number | 1053839837 |
||||
| LBN Legal business name | A GENTLE JOURNEY CORPORATION | ||||
| Authorized official | SHERRY BOWLEY - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/31/2017 | ||||
| Last updated | 12/30/2025 - About 5 months ago | ||||
| Identifiers |
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