# GENISIS SERVICES, INC

> 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:** 1669906046
- **Authorized official:** SHARJEEL KHAN (CEO)
- **Authorized official phone:** (248) 444-2772

## Contact information

- **Practice address:** 15201 W MCNICHOLS RD, DETROIT, MI 48235-3717
- **Practice address phone:** (248) 444-2772
- **Practice address fax:** (248) 681-2832
- **Mailing address:** 15201 W MCNICHOLS RD, DETROIT, MI 48235-3717
- **Mailing address phone:** (313) 279-3002
- **Mailing address fax:** (313) 332-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YS0200X | School Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 04/12/2017
- **Last updated:** 05/03/2017