Genesis Psychological Services, Lcc in Ahoskie - Psychologist
Genesis Psychological Services, Lcc - NPI 1558551101
Genesis Psychological Services, Lcc is a Psychologist in Ahoskie, North Carolina. Genesis Psychological Services, Lcc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Genesis Psychological Services, Lcc is 1558551101. The last update date is 2007-07-30.
Genesis Psychological Services, Lcc's current location address is 723 Mount Moriah Rd, Ahoskie, North Carolina. You can contact this provider via phone number 2522877989. The mailing address for Genesis Psychological Services, Lcc is 723 Mount Moriah Rd, Ahoskie, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genesis Psychological Services, Lcc |
|---|---|
| Address | 723 Mount Moriah Rd, Ahoskie, North Carolina |
| Phone Number | 2522877989 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MANA |
|---|---|
| Authorized Official Name | Mitchell E. Monique |
| Telephone Number | 2522877989 |
NPI Number Detail
| NPI Number | 1558551101 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 723 Mount Moriah Rd |
|---|---|
| City | Ahoskie |
| State | North Carolina (NC) |
| Post Code | 279109371 |
| Phone Number | 2522877989 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2147 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Genesis Psychological Services, Lcc by the Centers for Medicare & Medicaid Services?
The Genesis Psychological Services, Lcc has been assigned the NPI (National Provider Identifier) 1558551101. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Genesis Psychological Services, Lcc?
The Genesis Psychological Services, Lcc is situated at 723 Mount Moriah Rd, in the city of Ahoskie, state of NC, with the zip code 279109371.
What is the Genesis Psychological Services, Lcc's specialty and taxonomy code?
The Genesis Psychological Services, Lcc's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558551101 to Genesis Psychological Services, Lcc?
The Genesis Psychological Services, Lcc received its 1558551101 assignment from the Centers for Medicare & Medicaid Services on 2007-07-30.
When was the information related to Genesis Psychological Services, Lcc most recently updated or refreshed?
The details pertaining to the Genesis Psychological Services, Lcc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-30.