Healthcare Provider Details

I. General information

NPI: 1871258400
Provider Name (Legal Business Name): GENTLE WELLNESS STRATEGIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 S MAC ARTHUR LN STE 104
SIOUX FALLS SD
57108-5407
US

IV. Provider business mailing address

1604 E PONDEROSA DR
SIOUX FALLS SD
57103-4947
US

V. Phone/Fax

Practice location:
  • Phone: 605-376-1679
  • Fax:
Mailing address:
  • Phone: 605-376-1679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANNA JOY PERRY
Title or Position: OWNER
Credential: CSW-PIP
Phone: 605-376-1679