Organization
GENESIS...A NEW BEGINNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA B WISE (PRESIDENT)
(704) 720-7770
Entity
Organization
Contact information
Practice address
245 LE PHILLIP CT NE, CONCORD, NC 28025-2900
(704) 720-7770
(704) 973-9187
Mailing address
245 LE PHILLIP CT NE, CONCORD, NC 28025-2900
(704) 720-7770
(704) 973-9187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MHL-013-124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005393
—
NC
Enumeration date
09/27/2006
Last updated
07/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us