Organization
ELYSIAN MINDSCAPE XXII
Active
Other names
A New Genesis Mental & Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANAY LAHSON FREDERICK-ELLIS (FOUNDER/OWNER)
(717) 472-8384
Entity
Organization
Contact information
Practice address
17 E MARKET ST STE 112, YORK, PA 17401-1266
(717) 472-8384
Mailing address
2708 SUNSET LN, YORK, PA 17408-9565
(717) 819-8581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/29/2025
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