Genesishouse, 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.