# FIRST GENESIS GROUP HOME (DBA) BISBEE PLACE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528255767
- **Authorized official:** DR. JANICE M CHAMBERS LPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 292-1555

## Contact information

- **Practice address:** 4821 BISBEE DR, GREENSBORO, NC 27407-9710
- **Practice address phone:** (336) 292-1555
- **Practice address fax:** (336) 274-6608
- **Mailing address:** 4309 PENTON PLACE, GREENSBORO, NC 27455-1920
- **Mailing address phone:** (336) 292-1555
- **Mailing address fax:** (336) 274-6608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 0701003386 | VA | — |
| 101YP2500X | Professional Counselor | 4173 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 041837 | NC | Yes |

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 10/03/2011