NPI 1518124783

Genesis House, INC

Organisation Public Health or Welfare Agency Bloomsburg, PA

Practice location

Address: 823 Central Road, Bloomsburg, PA 17815
Phone: (570) 322-0520
Fax: (570) 326-9674
Mailing address: 800 West 4th Street STE G-01, Williamsport, PA 17701-7201

Authorised official

Name: Shakeena Bernique Lee
Title: Executive Director
Phone: (570) 322-0520

Registered specialties (5)

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

Other Public Health or Welfare providers in Pennsylvania →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Pennsylvania →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 197052 (PA)

Other Clinic/Center providers in Pennsylvania →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Registry record

NPI: 1518124783
Entity type: Organization
NPI issued: 16 May 2008
Record last updated: 27 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.