Healthcare Provider Details

I. General information

NPI: 1457273476
Provider Name (Legal Business Name): GENTLE TOUCH PHLEBOTOMY & WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 WILKINS ST STE B
SMITHFIELD NC
27577-4662
US

IV. Provider business mailing address

4250 NC HIGHWAY 96 N
SELMA NC
27576-8780
US

V. Phone/Fax

Practice location:
  • Phone: 919-394-5879
  • Fax:
Mailing address:
  • Phone: 919-394-5879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. LATISHA LASHAY COUNCIL
Title or Position: OWNER
Credential: CPT
Phone: 919-394-5879