Provider Demographics
NPI:1053168682
Name:GENTLE JOURNEY COUNSELING SERVICES
Entity type:Organization
Organization Name:GENTLE JOURNEY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARNELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANYON
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:617-329-9442
Mailing Address - Street 1:180 BLUE HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-2924
Mailing Address - Country:US
Mailing Address - Phone:203-503-1468
Mailing Address - Fax:
Practice Address - Street 1:2335 DIXWELL AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-2100
Practice Address - Country:US
Practice Address - Phone:617-329-9442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty