Genesis Mental Healthcare Services, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Woodlawn, MD
NPI 1548081854 · NPPES record last updated Oct 19, 2024
Key facts
- NPI
- 1548081854
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- GENESIS MENTAL HEALTHCARE SERVICES, LLC
- Practice address
- 6340 Security Blvd # 100-A38
Woodlawn, MD 21207-5173 - Phone
- (240) 899-2683
- NPI assigned
- Oct 19, 2024
- Organization subpart
- No
Authorized official
- Name
- Cecilia Besem Takor, CRNP-PMHNP
- Title
- Pmhnp
- Phone
- (240) 899-2683
Practitioners 1
-
Cecilia Besem Takor, PMHNP
National Provider Directory
Locations
6340 Security Blvd
#100A38
Woodlawn, MD 21207
Phone (240) 899-2683
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
6340 Security Blvd # 100-A38
Woodlawn, MD 21207-5173
Mailing address
6340 Security Blvd # 100-A38
Woodlawn, MD 21207-5173
Phone (240) 899-2683
Other providers in Woodlawn, MD
- Carley Foster
- Kortney Bryanna Foster
- Mary A. Fosu
- Brenda Garcia-Arevalo
- L'Tanya Geddie
- Nikhil Gera
- Kimberly Gordon-Achebe
- Nicole Green
- Michael Gruettner
- Gwynn Oak Home Care LLC
All providers in Woodlawn, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.