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Contact Information

A GENTLE JOURNEY CORPORATION
1305 E MAIN ST
RUSSELLVILLE, AR72801-5322
 Phone: 479-518-4674
 Fax: 479-308-0266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for A GENTLE JOURNEY CORPORATION

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
AR License # P1705309
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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