MEDICARE: GENTLE GUIDANCE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1912865635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE GUIDANCE SERVICES LLC

Provider Business Mailing Address
First Line	:	4236 GREEN CEDAR LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23237-2666
Country	:	US
Telephone Number	:	804-399-8670
Fax Number	:

Provider Business Practice Location Address
First Line	:	4236 GREEN CEDAR LN
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-2666
Country	:	US
Telephone Number	:	804-399-8670
Fax Number	:

Authorized Official
Title or Position	:	SERVICE FACILITATOR
Name	:	AEISHA MARSH
Credential	:
Telephone Number	:	804-399-8670

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/30/2026

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