Genesis Clincal Services

LBN: Genesis Clincal Services
Genesis Clincal Services is an health care organization with primary practice located at 7400 Carmel Executive Park Dr Ste 135 , Charlotte NC 28226-8400. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Genesis Clincal Services can be contacted via phone (704) 464-4910, or through Kraska, Chad W via phone (704) 464-4910.

Contact Information

Primary practice address
7400 Carmel Executive Park Dr Ste 135 Charlotte NC 28226-8400
Phone: (704) 464-4910
Fax: (704) 230-0856
Website:
Map and Directions
Authorized official contact:
Name: Kraska, Chad W PSYD
Phone: (704) 464-4910

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1801473939
LBN Legal business name Genesis Clincal Services
DBA Doing business as
Authorized official Kraska, Chad W PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2021
Last updated Mar 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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