GENESIS...A NEW BEGINNING


Address: 17 Cabarrus Ave W, Concord, NC 28025-4701
Phone: 7047207770

GENESIS...A NEW BEGINNING (NPI# 1144311853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144311853
Entity Type Organization
Organization Name GENESIS...A NEW BEGINNING
Practice Address 17 Cabarrus Ave W
Concord
NC 28025-4701
Practice Telephone 7047207770
Practice Fax Number 7047207781
Mailing Telephone 7047207770
Mailing Fax Number 7047207781
Enumeration Date 2006-09-27
Last Update Date 2020-08-22
Authorized Official Name MRS. DONNA B WISE (PRESIDENT)
Authorized Official Telephone 7047207770
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
MHL-013-124 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6005393 05

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities GENESIS(A NEW BEGINNING)LEARNING PLACE CORPORATION P.o.box 6068, Gary, IN 46406

Office Location

Street Address 17 CABARRUS AVE W
City CONCORD
State NC
Zip Code 28025-4701

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205436268 Josette Hoffman Skinner Counselor 51 Park Dr Sw, Concord, NC 28027-7029 2020-10-29
1811504574 Kaci Tolen Counselor 2085 Solano Way Apt A, Concord, CA 94520-4781 2020-09-28
1407496391 Amanda J Deprosse Counselor 4713 Curletto Dr, Concord, CA 94521-2125 2020-01-09
1093357634 Virginia Ann Booth Counselor 1470 Civic Ct # 100, Concord, CA 94520-5290 2019-10-15
1538726146 Ashley Halabi Counselor 250 Pleasant St Ste 5410, Concord, NH 03301-2598 2019-05-20
1578025383 A New Pathway LLC Counselor 150 Piney Church Rd, Concord, NC 28025-7081 2019-04-01
1730660499 Christopher Brian Mulcahy Counselor 4 Bicentennial Sq Ste 6, Concord, NH 03301-4069 2018-08-22
1235625666 Elizabeth Pellegrini Counselor 90 Airport Rd Ste 17, Concord, NH 03301-5326 2018-07-09
1295249399 Contra Costa County Counselor 2047c Arnold Industrial Way, Concord, CA 94520-5342 2017-11-28
1104362672 David Swaim Counselor 1470 Civic Ct Ste 111, Concord, CA 94520-5290 2017-01-09
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Competitor

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City CONCORD
Zip Code 28025

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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