Genesis Behavioral Services, Inc. in Saint Louis - Addiction (substance Use Disorder)
Genesis Behavioral Services, Inc. - NPI 1306004999
Genesis Behavioral Services, Inc. is a Addiction (substance Use Disorder) in Saint Louis, Missouri. Genesis Behavioral Services, Inc. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Genesis Behavioral Services, Inc. is 1306004999. The last update date is 2014-02-04.
Genesis Behavioral Services, Inc.'s current location address is 12647 Olive Blvd, Saint Louis, Missouri. You can contact this provider via phone number 4147771570 and fax number 4147771565. The mailing address for Genesis Behavioral Services, Inc. is 12647 Olive Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genesis Behavioral Services, Inc. |
|---|---|
| Address | 12647 Olive Blvd, Saint Louis, Missouri |
| Phone Number | 4147771570 |
| Fax Number | 4147771565 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Ortloff Pauline |
| Telephone Number | 4147771570 |
NPI Number Detail
| NPI Number | 1306004999 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
| Address | 12647 Olive Blvd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631416393 |
| Phone Number | 4147771570 |
| Fax Number | 4147771565 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1465 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42185921 | WI | -- | |
| 42185900 | WI | -- | |
| 42242221 | WI | -- | |
| 42186000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Genesis Behavioral Services, Inc. by the Centers for Medicare & Medicaid Services?
The Genesis Behavioral Services, Inc. has been assigned the NPI (National Provider Identifier) 1306004999 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Genesis Behavioral Services, Inc. located?
The Genesis Behavioral Services, Inc. is located at 12647 Olive Blvd, Saint Louis, MO 631416393.
What is the Genesis Behavioral Services, Inc.'s specialty and taxonomy code?
The Genesis Behavioral Services, Inc.'s specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306004999 to Genesis Behavioral Services, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1306004999 to Genesis Behavioral Services, Inc. on 2008-05-30.
As of what date was the information pertaining to Genesis Behavioral Services, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Genesis Behavioral Services, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-02-04.
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