Provider Demographics
NPI:1932692886
Name:A GENTLE CARE LLC
Entity Type:Organization
Organization Name:A GENTLE CARE LLC
Other - Org Name:COUNSELING & MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:GABRIELLE
Authorized Official - Last Name:LLANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-502-8188
Mailing Address - Street 1:2332 SW 67TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1846
Mailing Address - Country:US
Mailing Address - Phone:786-502-8188
Mailing Address - Fax:786-502-8027
Practice Address - Street 1:2332 SW 67TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1846
Practice Address - Country:US
Practice Address - Phone:786-502-8188
Practice Address - Fax:786-502-8027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health