Provider Demographics
NPI:1255657250
Name:GENESIS COUNSELING INC
Entity Type:Organization
Organization Name:GENESIS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HEIN-BOLTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:515-453-8410
Mailing Address - Street 1:1231 8TH ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2639
Mailing Address - Country:US
Mailing Address - Phone:515-453-8410
Mailing Address - Fax:515-453-8411
Practice Address - Street 1:1231 8TH ST
Practice Address - Street 2:SUITE 230
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2639
Practice Address - Country:US
Practice Address - Phone:515-453-8410
Practice Address - Fax:515-453-8411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000288106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty