Organization
GENESIS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE GONI LMFT (CLINICAL DIRECTOR)
(954) 404-6261
Entity
Organization
Contact information
Practice address
7350 NW 5TH ST, PLANTATION, FL 33317-1605
(954) 404-6261
(954) 239-8612
Mailing address
7350 NW 5TH ST, PLANTATION, FL 33317-1605
(954) 404-6261
(954) 239-8612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MT2410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003104500
—
FL
Enumeration date
09/07/2010
Last updated
04/11/2022
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