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GENESIS COUNSELING CENTER NPI 1194128066


NPI Information

NPI: 1194128066
Provider Name: GENESIS COUNSELING CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
8359 BEACON BLVD STE 200
FORT MYERS, FL
ZIP 33907
Phone: (239) 849-6813
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GENESIS COUNSELING CENTER is a community behavioral health in Fort Myers, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GENESIS COUNSELING CENTER NPI is 1194128066. The provider is registered as an organization entity type.

The provider's business location address is:

8359 BEACON BLVD STE 200
FORT MYERS, FL
ZIP 33907-065
Phone: (239) 849-6813

The provider's authorized official is Ethan Martin .
The authorized official title is Licensed Mental Health Counselor and has the following contact phone number (239) 849-6813.

The enumeration date for this NPI number is 10/6/2014 and was last updated on 10/6/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health12248FLORIDAYes

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: 11/14/2023

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