Genesis Counseling Center, Inc.

NPI #1164451399 in Hampton, Virginia

Provider Information

NPI Number: 1164451399
Entity Type: Organization
Organization Name: Genesis Counseling Center, Inc.
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 1, 2006
Last Updated: Jan 29, 2024

Practice Location

Address: 2202 EXECUTIVE DR
Address 2: SUITE C
City: Hampton
State: Virginia
ZIP Code: 23666-6604
Phone: (757) 827-7707

Authorized Official

Name: CAMERON SEVERO ASHWORTH
Title: VP OF OPERATIONS
Phone: (926) 436-3747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X
Counselor - Professional — Professional	101YP2500X	Primary

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