| Genesis Behavioral Health Services, Inc | |
|
2401 W 65th St Rm 220 Little Rock AR 72209-3207 | |
| (808) 295-2985 | |
| Not Available |
| Full Name | Genesis Behavioral Health Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 2401 W 65th St Rm 220, Little Rock, Arkansas |
| Authorized Official Name and Position | Richard L Lawrence (PRESIDENT) |
| Authorized Official Contact | 8082952985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Behavioral Health Services, Inc Po Box 253 Jacksonville AR 72078-0253 Ph: (808) 295-2985 | Genesis Behavioral Health Services, Inc 2401 W 65th St Rm 220 Little Rock AR 72209-3207 Ph: (808) 295-2985 |
| NPI Number | 1639944861 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639944861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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