| Genesis Counseling Llc | |
|
1111 N Dixie Ave Ste 2 Elizabethtown KY 42701-2764 | |
| (270) 991-2951 | |
| Not Available |
| Full Name | Genesis Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1111 N Dixie Ave Ste 2, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Charlotte C. Davis (OWNER) |
| Authorized Official Contact | 2709912951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Llc 1111 N Dixie Ave Ste 2 Elizabethtown KY 42701-2764 Ph: (270) 991-2951 | Genesis Counseling Llc 1111 N Dixie Ave Ste 2 Elizabethtown KY 42701-2764 Ph: (270) 991-2951 |
| NPI Number | 1497208524 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 07/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497208524 | NPI | - | NPPES |
| 7100337300 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 161534 (Kentucky) | Primary |
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