Rosalie Genova, Lcpc, Ccs

LBN: Rosalie Genova, Lcpc, Ccs
Rosalie Genova, Lcpc, Ccs is an health care organization with primary practice located at 1250 Forest Ave Portland Wellness Cooperative, Unit 14, Suite 7, Portland ME 04103. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Rosalie Genova, Lcpc, Ccs can be contacted via phone (207) 200-3789, or through Genova, Rosalie via phone (207) 200-3789.

Contact Information

Primary practice address
1250 Forest Ave Portland Wellness Cooperative, Unit 14, Suite 7 Portland ME 04103
Phone: (207) 200-3789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Genova, Rosalie LCPC, CCS
Phone: (207) 200-3789

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1134837222
LBN Legal business name Rosalie Genova, Lcpc, Ccs
DBA Doing business as
Authorized official Genova, Rosalie LCPC, CCS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2022
Last updated Nov 8th, 2022 - about 4 years ago

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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