# GENESIS FAMILY FOUNDATION LLC

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

## Provider details

- **NPI number:** 1366145542
- **Authorized official:** MR. RENS DANIEL DE KONING CPRC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (346) 208-4147

## Contact information

- **Practice address:** 1110 NASA PKWY STE 201, HOUSTON, TX 77058-3359
- **Practice address phone:** (713) 913-4575
- **Mailing address:** 1110 NASA PKWY STE 201, HOUSTON, TX 77058-3359
- **Mailing address phone:** (713) 913-4575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2023
- **Last updated:** 03/24/2023