| Sharehouse Genesis | |
|
505 40th St S Unit B Fargo ND 58103-1184 | |
| (701) 478-8440 | |
| (651) 925-0046 |
| Full Name | Sharehouse Genesis |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 505 40th St S Unit B, Fargo, North Dakota |
| Authorized Official Name and Position | Dana Leslie Kodadek (PATIENT SERVICE REPRESENTATIVE) |
| Authorized Official Contact | 7019418055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharehouse Genesis 4227 9th Ave S Fargo ND 58103-2018 Ph: (701) 282-6561 | Sharehouse Genesis 505 40th St S Unit B Fargo ND 58103-1184 Ph: (701) 478-8440 |
| NPI Number | 1356576979 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356576979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 1056 (North Dakota) | Primary |
Insight Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S Ste 202a, Fargo, ND 58103 Phone: 701-367-5985 Fax: 701-353-2080 | |
Fraser, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2902 University Dr S, Fargo, ND 58103 Phone: 701-232-3301 Fax: 701-237-5775 | |
Shanti Wellness Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3481 University Dr S Ste 104, Fargo, ND 58104 Phone: 701-353-9238 Fax: 701-205-1221 | |
Path Minnesota, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Westrac Dr S Ste 400, Fargo, ND 58103 Phone: 701-280-9545 Fax: 701-451-9473 | |
Forest River Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 45th St S, Fargo, ND 58104 Phone: 701-793-5400 |