# GENSIS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063849537
- **Authorized official:** ALVA WILLIAMS (CEO)
- **Authorized official phone:** (225) 364-1886

## Contact information

- **Practice address:** 11721 MARKET PLACE AVE, BATON ROUGE, LA 70816-6012
- **Practice address phone:** (225) 364-1886
- **Mailing address:** 11721 MARKET PLACE AVE, BATON ROUGE, LA 70816-6012
- **Mailing address phone:** (225) 364-1886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 302R00000X | Health Maintenance Organization | — | NULL | — |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 02/05/2016