GENESIS WELLNESS CENTER PLLC NPI 1851166813

NPI Information

  • NPI: 1851166813
  • Provider Name: GENESIS WELLNESS CENTER PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 18D2287982
  • Address: 3000 S 5TH ST
    LOUISVILLE, KY
    ZIP 40208
  • Phone: (502) 644-9162

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NPI Details

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 7/11/2024.

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
1363LC1500XNurse PractitionerCommunity HealthNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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