Gentry, Caroline Stanly
Gentry, Caroline Stanly is an sole proprietor health care provider with primary practice located at 8304 Old Keene Mill Rd , Springfield VA 22152-1640. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gentry, Caroline Stanly can be contacted via phone (314) 873-1717.Contact Information
Primary practice address
8304 Old Keene Mill Rd
Springfield VA 22152-1640
Phone: (314) 873-1717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701007248 | Virginia |
Profile Details
| NPI number | 1942728894 |
|---|---|
| LBN Legal business name | Gentry, Caroline Stanly |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2017 |
| Last updated | Aug 30th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942728894 | NPPES |
| Virginia | MEDICAID | 0701007248 |
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