Organization
GENTLES COUSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIEKA ANNALIECIA GENTLES (OWNER)
(774) 242-0312
Entity
Organization
Contact information
Practice address
100 GROVE ST STE 119, WORCESTER, MA 01605-2630
(774) 420-2060
(774) 530-6023
Mailing address
100 GROVE ST STE 119, WORCESTER, MA 01605-2630
(774) 420-2060
(774) 530-6023
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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