Genesishouse, Inc.
Prescribing (Medical) - Psychology Clinic
549 Cox Rd, Suite A, Gastonia
North Carolina, 28054-0628
704-852-3778 704-853-8751
Maps & DirectionsGenesishouse, Inc. is a Prescribing (Medical) - Psychology Clinic in Gastonia, North Carolina. It is located at 549 Cox Rd, Suite A, Gastonia, NC and its contact number is 704-852-3778. The authorized person for Genesishouse, Inc. is Mr. Kelvin Fernandez Hall
who is President of the clinic and his/her contact number is 704-852-3778. Other organizations associated with this clinic are Genesishouse, Inc., Genesis House, Inc.,
Genesishouse, Inc. Clinic is a licensed psychologist who has completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and is authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Complete Clinic Profile:
Genesishouse, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Genesishouse, Inc. |
| Specialization: | Prescribing (Medical) Psychology |
| Clinic Address: | 549 Cox Rd, Suite A, Gastonia,
North Carolina, 28054-0628 |
| Phone: | 704-852-3778 |
| Fax: | 704-853-8751 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Kelvin Fernandez Hall |
| Position: | President |
| Contact Number: | 704-852-3778 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Genesishouse, Inc. clinic are as mentioned below.
| NPI Number: | 1093727893 |
| NPI Enumeration Date: | 12 Aug, 2006 |
| NPI Last Update On: | 29 Jun, 2011 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Genesishouse, Inc. | Prescribing (Medical) Psychology | 1093727893 |
| Genesis House, Inc. | Mental Health Counselor | 1487958716 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Genesishouse, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Case Management | | | Primary | |
| Prescribing (Medical) | 9401389 | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8300892 | Medicaid | North Carolina | |
| 8300892B | Medicaid | North Carolina | |
| 3418147 | Medicaid | North Carolina | |
| 6102216 | Medicaid | North Carolina | |
| 8303041R | Medicaid | North Carolina | |
| 8303041 | Medicaid | North Carolina | |
| 8300892V | Medicaid | North Carolina | |
| 8300892G | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Genesishouse, Inc.
Po Box 551389,
Gastonia, North Carolina |
| Zip: | 28055-1389 |
| Phone Number: | 704-852-3778 |
| Fax Number: | 704-853-8751 |
Patients can reach Genesishouse, Inc. at
549 Cox Rd, Suite A, Gastonia, North Carolina or can
call to book an appointment on 704-852-3778.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.