| Genesis Counseling Services | |
|
304 W Michigan Ave Paw Paw MI 49079-1012 | |
| (269) 998-4388 | |
| (269) 624-2495 |
| Full Name | Genesis Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 304 W Michigan Ave, Paw Paw, Michigan |
| Authorized Official Name and Position | Machelle Dia Vietz (DIRECTOR) |
| Authorized Official Contact | 2699984388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Services 68155 26th St Lawton MI 49065-9615 Ph: (269) 998-4388 | Genesis Counseling Services 304 W Michigan Ave Paw Paw MI 49079-1012 Ph: (269) 998-4388 |
| NPI Number | 1417257189 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417257189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | D4854G (Michigan) | Primary |
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