1457760118 NPI number — GENESIS COUNSELING CENTER, INC.

Table of content: (NPI 1457760118)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457760118 NPI number — GENESIS COUNSELING CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENESIS COUNSELING CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457760118
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2202 EXECUTIVE DR
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
HAMPTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23666-6604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-827-7707
Provider Business Mailing Address Fax Number:
757-838-2573

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2705 TAYLOR RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHESAPEAKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23321-2207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-827-7707
Provider Business Practice Location Address Fax Number:
757-838-2573
Provider Enumeration Date:
08/07/2014

Additional Information

Authorized Official

Authorized Official Last Name:
ASHWORTH
Authorized Official First Name:
CAMERON
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OF OPERATIONS
Authorized Official Telephone Number:
757-827-7707

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  0904002090 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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