First Genesis Group Home (Dba) Bisbee Place
First Genesis Group Home (Dba) Bisbee Place is a Professional Counselor in Greensboro, North Carolina. Licensed in North Carolina and Virginia. Registered with an NPI since 2007.
- Licensed in
- NC, VA
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
4821 Bisbee DrGreensboro, NC 27407-9710
Phone: (336) 292-1555
Fax: (336) 274-6608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence 041837 (NC) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 4173 (NC) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 0701003386 (VA) |
Record details
| NPI number | 1528255767 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janice Chambers — Executive Director · (336) 292-1555 |
| NPI enumerated | October 2, 2007 |
| Last updated in NPPES | October 3, 2011 |
| Mailing address | 4309 Penton Place, Greensboro, NC 27455-1920 |
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Susan H Eubanks, MED
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-
Alejandra Fals, MS, LPCA
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Melissa Fickling
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Jerry Ford
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April D Forsbrey, LPC
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Kristin Renee Franks, LPCA
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