| Genesis Counseling Center, Inc. | |
|
566 Haddon Ave Collingswood NJ 08108-1444 | |
| (856) 858-9314 | |
| Not Available |
| Full Name | Genesis Counseling Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 566 Haddon Ave, Collingswood, New Jersey |
| Authorized Official Name and Position | Karen Vernon (OFFICE MANAGER) |
| Authorized Official Contact | 8568589314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Center, Inc. 566 Haddon Ave Collingswood NJ 08108-1444 Ph: (856) 858-9314 | Genesis Counseling Center, Inc. 566 Haddon Ave Collingswood NJ 08108-1444 Ph: (856) 858-9314 |
| NPI Number | 1164640231 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 12/23/2011 |
| Medicare PECOS PAC ID | 0941476329 |
|---|---|
| Medicare Enrollment ID | O20120106000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164640231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | John T Mccart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982729430 PECOS PAC ID: 8527234822 Enrollment ID: I20120109000763 |
| Provider Name | George Hayman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982944526 PECOS PAC ID: 9032351689 Enrollment ID: I20130809000441 |
| Provider Name | Kristina T Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548503204 PECOS PAC ID: 3577879782 Enrollment ID: I20150902003254 |
| Provider Name | Davis Rodriguez Melendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750724100 PECOS PAC ID: 2062796121 Enrollment ID: I20180716002855 |
| Provider Name | Nicole C Heron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912652504 PECOS PAC ID: 8820468325 Enrollment ID: I20221227001597 |
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