# ELYSIAN MINDSCAPE XXII

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A New Genesis Mental & Behavioral Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447062666
- **Authorized official:** DR. VANAY LAHSON FREDERICK-ELLIS (FOUNDER/OWNER)
- **Authorized official phone:** (717) 472-8384

## Contact information

- **Practice address:** 17 E MARKET ST STE 112, YORK, PA 17401-1266
- **Practice address phone:** (717) 472-8384
- **Mailing address:** 2708 SUNSET LN, YORK, PA 17408-9565
- **Mailing address phone:** (717) 819-8581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2025
- **Last updated:** 01/29/2025
