Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis House, Inc

Organization Public Health or Welfare Agency · NPI 1518124783

Genesis House, Inc is a Public Health or Welfare Agency in Bloomsburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

823 Central Rd
Bloomsburg, PA 17815
Phone: (570) 322-0520
Fax: (570) 326-9674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health or Welfare Agency (primary) Taxonomy 251K00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Clinic/Center Taxonomy 261Q00000X · Licence 197052 (PA)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1518124783
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesis House, Inc
Authorized official Shakeena Lee — Executive Director · (570) 322-0520
NPI enumeratedMay 16, 2008
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address800 West 4th Street, Ste G-01, Williamsport, PA 17701-7201

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