| Genesis Counseling Service, Inc. | |
|
10808 Phillips Dr Upper Marlboro MD 20772-4624 | |
| (301) 704-1445 | |
| Not Available |
| Full Name | Genesis Counseling Service, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10808 Phillips Dr, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Angela Bates (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 3017041445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Service, Inc. 8861 Branch Ave # 1026 Clinton MD 20735-2632 Ph: (301) 704-1445 | Genesis Counseling Service, Inc. 10808 Phillips Dr Upper Marlboro MD 20772-4624 Ph: (301) 704-1445 |
| NPI Number | 1720867427 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720867427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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