Genesis Counseling Center, Pc in Hampton - Clinical
Genesis Counseling Center, Pc - NPI 1164451399
Genesis Counseling Center, Pc is a Clinical in Hampton, Virginia. Genesis Counseling Center, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Genesis Counseling Center, Pc is 1164451399. The last update date is 2013-12-23.
Genesis Counseling Center, Pc's current location address is 2202 Executive Dr, Hampton, Virginia. You can contact this provider via phone number 7578277707 and fax number 7578382573. The mailing address for Genesis Counseling Center, Pc is 2202 Executive Dr, Hampton, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genesis Counseling Center, Pc |
|---|---|
| Address | 2202 Executive Dr, Hampton, Virginia |
| Phone Number | 7578277707 |
| Fax Number | 7578382573 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Young Faith Trina |
| Credentials | PSYD |
| Telephone Number | 7578277707 |
NPI Number Detail
| NPI Number | 1164451399 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2013-12-23 |
Provider Mailing Address Detail
| Address | 2202 Executive Dr |
|---|---|
| City | Hampton |
| State | Virginia (VA) |
| Post Code | 236666604 |
| Phone Number | 7578277707 |
| Fax Number | 7578382573 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Genesis Counseling Center, Pc by the Centers for Medicare & Medicaid Services?
The Genesis Counseling Center, Pc has been issued the NPI (National Provider Identifier) 1164451399, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Genesis Counseling Center, Pc located?
The Genesis Counseling Center, Pc is located at 2202 Executive Dr, Hampton, VA 236666604.
What is the Genesis Counseling Center, Pc's specialty and taxonomy code?
The Genesis Counseling Center, Pc's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Genesis Counseling Center, Pc receive its 1164451399 assignment from the Centers for Medicare & Medicaid Services?
The Genesis Counseling Center, Pc was assigned its 1164451399 by the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date were the Genesis Counseling Center, Pc's details last updated?
The information pertaining to the Genesis Counseling Center, Pc, including its address, specialty, and other details, was most recently updated on 2013-12-23.
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