# GENESIS MENTAL HEALTHCARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1548081854
- **Authorized official:** CECILIA BESEM TAKOR CRNP-PMHNP (PMHNP)
- **Authorized official phone:** (240) 899-2683

## Contact information

- **Practice address:** 6340 SECURITY BLVD \# 100-A38, WOODLAWN, MD 21207-5173
- **Practice address phone:** (240) 899-2683
- **Mailing address:** 6340 SECURITY BLVD \# 100-A38, WOODLAWN, MD 21207-5173
- **Mailing address phone:** (240) 899-2683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2024
- **Last updated:** 10/19/2024