Provider Demographics
NPI:1205626470
Name:A GENTLE TOUCH DEVELOPMENTAL SERVICES, LLC
Entity type:Organization
Organization Name:A GENTLE TOUCH DEVELOPMENTAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOVIAN
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:QIDP, QDDP
Authorized Official - Phone:804-833-6328
Mailing Address - Street 1:1717 S SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PRINCE GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23805-1626
Mailing Address - Country:US
Mailing Address - Phone:804-833-6328
Mailing Address - Fax:
Practice Address - Street 1:1717 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:SOUTH PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23805-1626
Practice Address - Country:US
Practice Address - Phone:804-833-6328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty