# GENESIS FAMILY INC.

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

## Provider details

- **NPI number:** 1467244020
- **Authorized official:** MR. RENS DANIEL DE KONING CPRC (PRESIDENT / EXECUTIVE DIRECTOR)
- **Authorized official phone:** (713) 999-5425

## Contact information

- **Practice address:** 17629 EL CAMINO REAL STE 202, HOUSTON, TX 77058-6004
- **Practice address phone:** (713) 913-4575
- **Practice address fax:** (361) 360-0946
- **Mailing address:** 17629 EL CAMINO REAL STE 202, HOUSTON, TX 77058-6004
- **Mailing address phone:** (713) 913-4575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2025
- **Last updated:** 05/20/2025
