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

Genesis LLC

Organization Counselor · NPI 1174380463

Genesis LLC is a Counselor in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1007 W Broadway Ave
Minneapolis, MN 55411-2503
Phone: (952) 221-9987
Fax: (612) 486-8694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X
Health & Wellness Coach Taxonomy 171400000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1174380463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilma King — President · (612) 408-9084
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 3, 2024
Mailing address2143 Albemarle Ct N, Roseville, MN 55113-6677

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