Genesis Wellness Center Pllc

LBN: Genesis Wellness Center Pllc
Genesis Wellness Center Pllc is an health care organization with primary practice located at 3000 S 5Th St , Louisville KY 40208-1312. The organization recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Genesis Wellness Center Pllc can be contacted via phone (502) 644-9162, or through Gaines, Lisa C via phone (502) 644-9162.

Contact Information

Primary practice address
3000 S 5Th St Louisville KY 40208-1312
Phone: (502) 644-9162
Fax: (502) 390-0330
Website:
Map and Directions
Authorized official contact:
Name: Gaines, Lisa C Advanced Practice Registered Nurse (APRN)
Phone: (502) 644-9162

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1851166813
LBN Legal business name Genesis Wellness Center Pllc
DBA Doing business as
Authorized official Gaines, Lisa C Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2023
Last updated Jul 11th, 2024 - about 4 months 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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