Genesis Health & Wellness Center

LBN: Safe Haven Llc
Genesis Health & Wellness Center is an health care organization with primary practice located at 2029 Washington Ave , Evansville IN 47714-2257. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Agencies / Community/Behavioral Health is the primary health care specialty. Safe Haven Llc can be contacted via phone (812) 602-4022, or through Hagedorn, Michael G via phone (812) 499-7950.

Contact Information

Primary practice address
2029 Washington Ave Evansville IN 47714-2257
Phone: (812) 602-4022
Fax: (812) 602-4023
Website:
Map and Directions
Authorized official contact:
Name: Hagedorn, Michael G LMHC, LCAC, SAP, NCC
Phone: (812) 499-7950

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X

Profile Details

NPI number 1164925772
LBN Legal business name Safe Haven Llc
DBA Doing business as Genesis Health & Wellness Center
Authorized official Hagedorn, Michael G LMHC, LCAC, SAP, NCC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2018
Last updated Jun 29th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164925772 NPPES
Indiana MEDICAID 300058088
Indiana MEDICAID 300063279

Popular Providers