institution
Genesis Behavioral Services, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in West Bend, Wisconsin
NPI 1306004999

Genesis Behavioral Services, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Saint Louis, WI and is specialized in Mental Health (Including Community Mental Health Center). Genesis Behavioral Services, Inc. practices in West Bend, WI. The NPI Number for Genesis Behavioral Services, Inc. is 1306004999 and holds a License No. 1465 (Wisconsin).

The current practice location address for Genesis Behavioral Services, Inc. is 1626 Clarence Court, West Bend, WI and can be reached out via phone at 262-338-8611 and via fax at 262-338-3367. You can also correspond with Genesis Behavioral Services, Inc. through the mailing address at 12647 OLIVE BLVD, SAINT LOUIS, MO - 63141-6393 (mailing address contact number: 414-777-1570).

Location: 1626 Clarence Court, West Bend, WI, 63141-6393
institution
Provider Profile Details
NPI Number
1306004999
Provider Name
Genesis Behavioral Services, Inc.
Credential
Provider Entity Type
Organization
Address
1626 Clarence Court, West Bend, WI, 63141-6393
Phone Number
262-338-8611
Fax Number
262-338-3367
Provider Enumeration Date
05/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42185921 05 WI
42185900 05 WI
42242221 05 WI
42186000 05 WI
institution
Provider Business Practice Location Address Details
Address
1626 Clarence Court
City
State
Zip
53095
Phone Number
262-338-8611
Fax Number
262-338-3367
person
Provider Business Mailing Address Details
Address
12647 Olive Blvd
City
State
Zip
63141-6393
Phone Number
414-777-1570
Fax Number
414-777-1565
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1465 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1465 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
1465 (Wisconsin)
Definition
Definition to come...
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