Organization
GENESIS COUNSELING CENTER OF TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON ASHWORTH (VP OF OPERATIONS)
(757) 827-7707
Entity
Organization
Contact information
Practice address
101 WOODS OF BOERNE BLVD STE 200, BOERNE, TX 78006-2882
(803) 967-7422
Mailing address
2202 EXECUTIVE DR STE C, HAMPTON, VA 23666-6604
(757) 827-7707
(757) 838-2573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/05/2023
Last updated
10/27/2023
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