# GENESIS COUNSELING CENTER, INC.

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

## Provider details

- **NPI number:** 1457760118
- **Authorized official:** CAMERON ASHWORTH (VP OF OPERATIONS)
- **Authorized official phone:** (757) 827-7707

## Contact information

- **Practice address:** 2705 TAYLOR RD, CHESAPEAKE, VA 23321-2207
- **Practice address phone:** (757) 827-7707
- **Practice address fax:** (757) 838-2573
- **Mailing address:** 2202 EXECUTIVE DR, SUITE C, HAMPTON, VA 23666-6604
- **Mailing address phone:** (757) 827-7707
- **Mailing address fax:** (757) 838-2573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904002090 | VA | Yes |

## Other

- **Enumeration date:** 08/07/2014
- **Last updated:** 01/29/2024