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GENESIS MENTAL HEALTHCARE SERVICES, LLC
NPI 1548081854
Nurse Practitioner - Psychiatric/Mental Health in Woodlawn, MD

Active since October 19, 2024
6340 SECURITY BLVD # 100-A38, WOODLAWN, MD 21207(240) 899-2683 Get Directions Write a Review

NPPES record last updated: October 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Mental Healthcare Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS MENTAL HEALTHCARE SERVICES, LLC (NPI 1548081854) is a healthcare organization registered as a psychiatric/mental health in Woodlawn, Maryland and active in the NPI registry since October 2024. The organization lists Cecilia Besem Takor, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1548081854
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGENESIS MENTAL HEALTHCARE SERVICES, LLC
Location Address6340 SECURITY BLVD # 100-A38Woodlawn, MD 21207-5173
Mailing Address6340 Security Blvd # 100-a38Woodlawn, MD 21207-5173 · (240) 899-2683
Phone(240) 899-2683
Organization SubpartNo
Authorized OfficialCecilia Besem TakorPmhnp · (240) 899-2683
Enumeration DateOctober 19, 2024
NPPES CertifiedOctober 19, 2024
✔ NPI 1548081854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6340 SECURITY BLVD # 100-A38, Woodlawn, MD 21207
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Mental Healthcare Services, LLC's NPI number?

The NPI number for Genesis Mental Healthcare Services, LLC is 1548081854. It was assigned to this organization in the NPPES registry on October 19, 2024.

Where is Genesis Mental Healthcare Services, LLC located?

Genesis Mental Healthcare Services, LLC is located at 6340 Security Blvd # 100-A38, Woodlawn, MD 21207. The listed phone number is (240) 899-2683.

What is Genesis Mental Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Genesis Mental Healthcare Services, LLC was last updated on October 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.