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GENESIS WELLNESS CENTER PLLC
NPI 1851166813
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Active since November 20, 2023
3000 S 5TH ST, LOUISVILLE, KY 40208(502) 644-9162(502) 390-0330 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2024, Nov 20, 2023 (2 updates tracked since 2023).

About Genesis Wellness Center Pllc NPPES

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

GENESIS WELLNESS CENTER PLLC (NPI 1851166813) is a healthcare organization registered as a psychiatric/mental health in Louisville, Kentucky and active in the NPI registry since November 2023. The organization maintains a secondary practice location in Louisville and lists Lisa C Gaines, Owner, as its authorized official.

NPPES Registry Identity

NPI1851166813
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGENESIS WELLNESS CENTER PLLC
Location Address3000 S 5TH STLouisville, KY 40208-1312
Mailing Address4507 Meadowlark Manor LnLouisville, KY 40245-2702 · (502) 644-9162 · Fax (502) 390-0330
Phone(502) 644-9162
Fax(502) 390-0330
Organization SubpartNo
Authorized OfficialLisa C GainesOwner · (502) 644-9162
Enumeration DateNovember 20, 2023
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1851166813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3000 S 5TH ST, Louisville, KY 40208
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Secondary Practice Location 1

Location 13620 W BroadwayLouisville, KY 40211 · Phone (502) 694-3700

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Wellness Center PLLC's NPI number?

The NPI number for Genesis Wellness Center PLLC is 1851166813. It was assigned to this organization in the NPPES registry on November 20, 2023.

Where is Genesis Wellness Center PLLC located?

Genesis Wellness Center PLLC is located at 3000 S 5th St, Louisville, KY 40208. The listed phone number is (502) 644-9162.

What is Genesis Wellness Center PLLC'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 Wellness Center PLLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.