Organization
GENOA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EMILY D EDWARDS MSW (OWNER, SINGLE MEMBER)
(219) 808-0793
Entity
Organization
Contact information
Practice address
222 INDIANAPOLIS BLVD STE 207, SCHERERVILLE, IN 46375-1275
(219) 808-0793
(219) 756-0795
Mailing address
222 INDIANAPOLIS BLVD STE 207, SCHERERVILLE, IN 46375-1275
(219) 808-0793
(219) 756-0795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99025162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100475220C
—
IN
05
—
200240460A
—
IN
Enumeration date
04/07/2007
Last updated
02/04/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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