Organization
GENTLE HAVEN HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA R HORTON (OWNER)
(256) 750-2888
Entity
Organization
Contact information
Practice address
1133 LAMONT CT, CLARKSVILLE, TN 37042-8704
(256) 750-2888
Mailing address
PO BOX 1011, ARDMORE, TN 38449-1011
(256) 750-2888
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/11/2025
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