| Genesis Counseling Center | |
|
336 S Halifax Dr Ormond Beach FL 32176-8111 | |
| (386) 677-5376 | |
| (386) 673-5347 |
| Full Name | Genesis Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 336 S Halifax Dr, Ormond Beach, Florida |
| Authorized Official Name and Position | Timothy Lawrence Mcneil (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3866775376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Center 336 S. Halifax Drive Ormond Beach FL 32176 Ph: (386) 677-5376 | Genesis Counseling Center 336 S Halifax Dr Ormond Beach FL 32176-8111 Ph: (386) 677-5376 |
| NPI Number | 1871966051 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871966051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | MH3217 (Florida) | Primary |
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