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General NPI Number Information
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NPI Number | 1932054640
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Entity Type | Organization
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Legal Business Name | GENESIS A NEW BEGINNING
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 130 N ARLINGTON ST STE E
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City | SALISBURY
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State | NC
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Zip | 28144-4600
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Country | US
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Telephone | 704-636-0838
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Fax | 704-870-0981
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Provider Business Mailing Address
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Address Line | 130 N ARLINGTON ST STE E
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City | SALISBURY
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State | NC
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Zip | 28144-4600
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Country | US
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Telephone | 704-636-0838
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Fax | 704-870-0981
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR ASSOCIATE
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Name | MS. JONISHAWA JONTAY DANIELLE IVORY
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Credential | LCMHC-A
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Telephone | 704-426-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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