| Genesis Counseling & Consulting, Inc. | |
|
6971 N Federal Hwy Ste 206 Boca Raton FL 33487-1648 | |
| (561) 408-1098 | |
| Not Available |
| Full Name | Genesis Counseling & Consulting, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 6971 N Federal Hwy Ste 206, Boca Raton, Florida |
| Authorized Official Name and Position | Jennifer Bishop (OWNER/THERAPIST) |
| Authorized Official Contact | 9548928603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling & Consulting, Inc. 6971 N Federal Hwy Ste 206 Boca Raton FL 33487-1648 Ph: (561) 408-1098 | Genesis Counseling & Consulting, Inc. 6971 N Federal Hwy Ste 206 Boca Raton FL 33487-1648 Ph: (561) 408-1098 |
| NPI Number | 1972150647 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Medicare PECOS PAC ID | 7315387008 |
|---|---|
| Medicare Enrollment ID | O20240429001318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972150647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Watty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770067597 PECOS PAC ID: 5698115392 Enrollment ID: I20240429001763 |
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