| Genesis Innovative Solutions | |
|
323 Clifton St Ste 4 Greenville NC 27858-5053 | |
| (252) 565-3796 | |
| Not Available |
| Full Name | Genesis Innovative Solutions |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 323 Clifton St Ste 4, Greenville, North Carolina |
| Authorized Official Name and Position | Takara Whichard (CEO) |
| Authorized Official Contact | 2525653796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Innovative Solutions 323 Clifton St Ste 4 Greenville NC 27858-5053 Ph: (252) 565-3796 | Genesis Innovative Solutions 323 Clifton St Ste 4 Greenville NC 27858-5053 Ph: (252) 565-3796 |
| NPI Number | 1912619818 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912619818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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