Provider Demographics
NPI:1780185926
Name:GENESIS MENTAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:GENESIS MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BIBIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-221-7575
Mailing Address - Street 1:10990 SWITZER AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-1363
Mailing Address - Country:US
Mailing Address - Phone:214-221-7575
Mailing Address - Fax:214-221-0858
Practice Address - Street 1:10990 SWITZER AVE STE 302
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-1363
Practice Address - Country:US
Practice Address - Phone:214-221-7575
Practice Address - Fax:214-221-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health