Provider Demographics
NPI:1578001491
Name:GENTLE JOURNEY, INC
Entity Type:Organization
Organization Name:GENTLE JOURNEY, INC
Other - Org Name:GENTLE JOURNEY MIDWIFERY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:REECE
Authorized Official - Suffix:
Authorized Official - Credentials:LM, CPM
Authorized Official - Phone:228-623-6125
Mailing Address - Street 1:17505 N COUNTY ROAD 225
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-4431
Mailing Address - Country:US
Mailing Address - Phone:228-623-6125
Mailing Address - Fax:352-485-1859
Practice Address - Street 1:17505 N COUNTY ROAD 225
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-4431
Practice Address - Country:US
Practice Address - Phone:228-623-6125
Practice Address - Fax:352-485-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW332176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty