| Genesis Counseling Center, Inc. | |
|
2705 Taylor Rd Chesapeake VA 23321-2207 | |
| (757) 827-7707 | |
| (757) 838-2573 |
| Full Name | Genesis Counseling Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2705 Taylor Rd, Chesapeake, Virginia |
| Authorized Official Name and Position | Cameron Ashworth (VP OF OPERATIONS) |
| Authorized Official Contact | 7578277707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Center, Inc. 2202 Executive Dr Suite C Hampton VA 23666-6604 Ph: (757) 827-7707 | Genesis Counseling Center, Inc. 2705 Taylor Rd Chesapeake VA 23321-2207 Ph: (757) 827-7707 |
| NPI Number | 1457760118 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457760118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904002090 (Virginia) | Primary |
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