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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942728894 NPPES
Virginia MEDICAID 0701007248

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