Genesis House, Inc

LBN: Genesis House, Inc
Genesis House, Inc is an health care organization with primary practice located at 121 Locust Street 2Nd/3Rd Floor, Harrisburg PA 17101. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Genesis House, Inc can be contacted via phone (570) 322-0520, or through Lee, Shakeena Bernique via phone (570) 322-0520.

Contact Information

Primary practice address
121 Locust Street 2Nd/3Rd Floor Harrisburg PA 17101
Phone: (570) 322-0520
Fax: (570) 326-9674
Website:
Map and Directions
Authorized official contact:
Name: Lee, Shakeena Bernique MSW, LSW, ACSW, CAAD
Phone: (570) 322-0520

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 227060 Pennsylvania
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1609976661
LBN Legal business name Genesis House, Inc
DBA Doing business as
Authorized official Lee, Shakeena Bernique MSW, LSW, ACSW, CAAD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 27th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609976661 NPPES
Pennsylvania MEDICAID 1007283800004

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