| Genesis...a New Beginning | |
|
245 Le Phillip Ct Ne Concord NC 28025-2900 | |
| (704) 720-7770 | |
| (704) 973-9187 |
| Full Name | Genesis...a New Beginning |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 245 Le Phillip Ct Ne, Concord, North Carolina |
| Authorized Official Name and Position | Donna B Wise (PRESIDENT) |
| Authorized Official Contact | 7047207770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis...a New Beginning 245 Le Phillip Ct Ne Concord NC 28025-2900 Ph: (704) 720-7770 | Genesis...a New Beginning 245 Le Phillip Ct Ne Concord NC 28025-2900 Ph: (704) 720-7770 |
| NPI Number | 1144311853 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144311853 | NPI | - | NPPES |
| 6005393 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MHL-013-124 (North Carolina) | Primary |
Milestones Of North Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Church St Ne, Concord, NC 28025 Phone: 704-788-4444 Fax: 704-788-4449 | |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Spring St Sw, Concord, NC 28025 Phone: 704-786-1539 Fax: 866-790-1485 | |
Northeast Neurology-copperfield Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Copperfield Blvd Ne, Suite 201, Concord, NC 28025 Phone: 704-403-1911 Fax: 704-403-1901 | |
1st Step Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10912 Mccamie Hill Pl, Concord, NC 28025 Phone: 980-319-4357 | |
Great Rose Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Union St S Ste Ll228, Concord, NC 28025 Phone: 704-791-0611 | |
Empowered To Succed Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 Derita Rd, Concord, NC 28027 Phone: 704-788-4511 | |
Victory Family Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Union St S Ste 206, Concord, NC 28025 Phone: 704-918-9741 Fax: 704-270-6213 |