Healthcare Provider Details

I. General information

NPI: 1912865635
Provider Name (Legal Business Name): GENTLE GUIDANCE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4236 GREEN CEDAR LN
NORTH CHESTERFIELD VA
23237-2666
US

IV. Provider business mailing address

4236 GREEN CEDAR LN
RICHMOND VA
23237-2666
US

V. Phone/Fax

Practice location:
  • Phone: 804-399-8670
  • Fax:
Mailing address:
  • Phone: 804-399-8670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: AEISHA MARSH
Title or Position: SERVICE FACILITATOR
Credential:
Phone: 804-399-8670