| Genesis Specialty Groups, Llc | |
|
778 Chevelle Drive Baton Rouge LA 70806 | |
| (225) 771-8890 | |
| (225) 612-6920 |
| Full Name | Genesis Specialty Groups, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 778 Chevelle Drive, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Tanya Mekdessie Stuart (OWNER) |
| Authorized Official Contact | 2257719980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Specialty Groups, Llc Po Box 83581 Baton Rouge LA 70884 Ph: (225) 771-9980 | Genesis Specialty Groups, Llc 778 Chevelle Drive Baton Rouge LA 70806 Ph: (225) 771-8890 |
| NPI Number | 1033682802 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033682802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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