GENESIS WELLNESS CENTER PLLC NPI 1851166813

NPI Information

NPI: 1851166813
Provider Name: GENESIS WELLNESS CENTER PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 18D2287982

Address:
3000 S 5TH ST
LOUISVILLE, KY
ZIP 40208
Phone: (502) 644-9162
Get Directions

GENESIS WELLNESS CENTER PLLC is a psychiatric/mental health nurse practitioner in Louisville, KY. GENESIS WELLNESS CENTER PLLC NPI is 1851166813. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3000 S 5TH ST
LOUISVILLE, KY
ZIP 40208-312
Phone: (502) 644-9162
Fax: (502) 390-0330

The provider's authorized official is Lisa C Gaines .
The authorized official title is Owner and has the following contact phone number (502) 644-9162.

The CLIA number assigned to this NPI record is 18D2287982 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/20/2023 and was last updated on 11/20/2023.

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	Primary
1	363LC1500X	Nurse Practitioner	Community Health	No
2	363LF0000X	Nurse Practitioner	Family	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »