GENESIS BALANCE COUNSELING, PLLC (NPI# 1609427129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609427129 |
| Entity Type | Organization |
| Organization Name | GENESIS BALANCE COUNSELING, PLLC |
| Practice Address |
2525 Raeford Rd Ste A Fayetteville NC 28305-5092 |
| Practice Telephone | 9107450303 |
| Mailing Telephone | 9107450303 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MRS. SHANNON WIGGINS (OWNER) |
| Authorized Official Telephone | 9107450303 |
| Authorized Official Credential | LCSWA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
2525 RAEFORD RD STE A |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1235771312 | Wang Psychological Services Pllc | Psychologist | 2525 Raeford Rd Ste A, Fayetteville, NC 28305-5092 | 2019-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| 1689608259 | Henry Zack Smith | Dentist | 573 Executive Place, Fayetteville, NC 28305 | 2006-07-10 |
| Find all providers in zip 28305 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1538621602 | A New Beginning for Families Inc | Clinic/Center | 500 Lanier Ave W Ste Aoffice7, Fayetteville, GA 30214-7636 | 2019-04-05 |
| 1386920049 | Point Momentum, P.l.l.c. | Clinic/Center | 4257 Gabel Drive, Fayetteville, AR 72703 | 2011-10-26 |
| 1669606448 | Sunrise Specialty Clinic | Clinic/Center | 709 Hay St, Fayetteville, NC 28301-5423 | 2009-05-08 |
| 1073647392 | Professional Family Care Services, Inc. | Clinic/Center | 350 Wagoner Dr, Suite 103, Fayetteville, NC 28303-4678 | 2007-03-16 |
| 1811032022 | S & T Wecare Community Support | Clinic/Center | 401 Offing Dr, Fayetteville, NC 28314-1043 | 2007-02-21 |
| 1063564003 | Unity Home Care, Inc | Clinic/Center | 211 Fairway Dr, Suite, Fayetteville, NC 28305-5571 | 2007-01-18 |
| 1104882547 | Northwest Counseling & Social Work Services, Inc | Clinic/Center | 111 E Davidson St, Fayetteville, AR 72701-3413 | 2006-04-25 |
| 1558978858 | Day By Day: A Center for Health and Healing | Clinic/Center | 215 N East Ave Ste 102, Fayetteville, AR 72701-5296 | 2020-09-30 |
| 1609482439 | Centerstone of Tennesse Inc. | Clinic/Center | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-09-17 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
Please comment or provide details below to improve the information on GENESIS BALANCE COUNSELING, PLLC.
| 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.