GENESIS BALANCE COUNSELING PLLC NPI 1609427129

NPI Information

NPI: 1609427129
Provider Name: GENESIS BALANCE COUNSELING, PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2545 RAVENHILL DR STE 102
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 708-6025
Get Directions

GENESIS BALANCE COUNSELING, PLLC is a mental health (including community mental health center) clinic center in Fayetteville, NC. GENESIS BALANCE COUNSELING, PLLC NPI is 1609427129. The provider is registered as an organization entity type.

The provider's business location address is:

2545 RAVENHILL DR STE 102
FAYETTEVILLE, NC
ZIP 28303-460
Phone: (910) 708-6025
Fax: (910) 858-5876

The provider's authorized official is Shannon Wiggins .
The authorized official title is Owner and has the following contact phone number (910) 708-6025.

The enumeration date for this NPI number is 9/25/2019 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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