Organization
GENESIS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY LAWRENCE MCNEIL LMHC (EXECUTIVE DIRECTOR)
(386) 677-5376
Entity
Organization
Contact information
Practice address
336 S HALIFAX DR, ORMOND BEACH, FL 32176-8111
(386) 677-5376
(386) 673-5347
Mailing address
336 S. HALIFAX DRIVE, ORMOND BEACH, FL 32176
(386) 677-5376
(386) 673-5347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH3217
FL
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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