| New Genesis Consulting Services | |
|
8227 Cloverleaf Dr Ste 303 Suite G Millersville MD 21108-1536 | |
| (410) 987-1036 | |
| (888) 224-0984 |
| Full Name | New Genesis Consulting Services |
|---|---|
| Speciality | Psychologist |
| Location | 8227 Cloverleaf Dr Ste 303, Millersville, Maryland |
| Authorized Official Name and Position | Syretta R. James (OWNER OPERATOR/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4109871036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Genesis Consulting Services 112 W Pennsylvania Ave Suite 100 Bel Air MD 21014-3669 Ph: (410) 838-8331 | New Genesis Consulting Services 8227 Cloverleaf Dr Ste 303 Suite G Millersville MD 21108-1536 Ph: (410) 987-1036 |
| NPI Number | 1457773160 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457773160 | NPI | - | NPPES |
| 331149000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 04935 (Maryland) | Primary |
| 104100000X | Social Worker | 07685 (Maryland) | Secondary |
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