# GENESIS BIRTH SERVICES LLC

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

## Provider details

- **NPI number:** 1831733021
- **Authorized official:** MS. GERRIA COFFEE CLC CD CBE CHW MH MA (OWNER)
- **Authorized official phone:** (717) 970-3009

## Contact information

- **Practice address:** 1307 PARK AVE, \#10, WILLIAMSPORT, PA 17701-2610
- **Practice address phone:** (717) 970-3009
- **Practice address fax:** (717) 970-3009
- **Mailing address:** 1307 PARK AVE, \#10, WILLIAMSPORT, PA 17701
- **Mailing address phone:** (717) 970-3009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174N00000X | Lactation Consultant (Non-RN) | — | — | — |
| 261QC1500X | Community Health Clinic/Center | — | — | — |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2019
- **Last updated:** 08/27/2021