National Provider Identifier
Genesis...A New Beginning
Genesis...A New Beginning is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Concord, NC and a listed phone number of (704) 720-7770.
Source: public NPPES record, last updated July 09, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1144311853
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 27, 2006
- Last Updated
- July 09, 2021
Practice Location
- 245 Le Phillip Ct Ne
- Concord, NC 28025-2900
Phone: (704) 720-7770
Authorized Official
- Name
- Mrs. Donna B Wise
- Title
- President
- Phone
- (704) 720-7770
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Endpoints
- EMH
Connect Url | Direct | Csv | Concord, NC 28025
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Full Record
- NPI
- 1144311853
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Genesis...A New Beginning
- Mailing Street Address
- 245 Le Phillip Ct Ne
- Mailing City
- Concord
- Mailing State
- NC
- Mailing ZIP Code
- 28025-2900
- Mailing Country
- US
- Mailing Phone
- (704) 720-7770
- Mailing Fax
- (704) 973-9187
- Practice Street Address
- 245 Le Phillip Ct Ne
- Practice City
- Concord
- Practice State
- NC
- Practice ZIP Code
- 28025-2900
- Practice Country
- US
- Practice Phone
- (704) 720-7770
- Practice Fax
- (704) 973-9187
- Enumeration Date
- September 27, 2006
- Last Updated
- July 09, 2021
- Authorized Official Last Name
- Wise
- Authorized Official First Name
- Donna
- Authorized Official Middle Name
- B
- Authorized Official Title
- President
- Authorized Official Phone
- (704) 720-7770
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mrs.
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- July 09, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 6005393 (NC)