GENISE LYNN LALOS


Address: 1420 Washington Ave, Huntington, WV 25704-1519
Phone: 3045257851

GENISE LYNN LALOS (NPI# 1437274263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437274263
Entity Type Individual
Full Name GENISE LYNN LALOS
Other Name GENISE LYNN HEFLIN
Credential LSW, CAC
Practice Address 1420 Washington Ave
Huntington
WV 25704-1519
Mailing Address 2 Robin Ln
Sherwood Estates
Ona
WV 25545-9749
Practice Telephone 3045257851
Practice Fax Number 3046971286
Mailing Telephone 3047366874
Mailing Fax Number 3046971286
Enumeration Date 2007-03-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
95-302S WV Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
AP00940219 WV Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV CCS 95-102S 01
WV CCAC 95-302S 01
WV LSW AP00940219 01

Office Location

Street Address 1420 WASHINGTON AVE
City HUNTINGTON
State WV
Zip Code 25704-1519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366535478 Susan L Coyer Counselor 1420 Washington Ave, Huntington, WV 25704-1519 2006-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497354161 Sherry Jean Short Technician 315 1/2 W 13th Street, Huntington, WV 25704 2020-10-22
1063029940 Kathern Sullivan Technician 2950 Apt. B1 Auburn Rd, Huntington, WV 25704 2020-09-25
1932713229 John Webb Technician 3717 Lot 17 Rte. 75, Huntington, WV 25704 2020-09-03
1679114458 Betty Bentley Technician 1588 Spring Valley Drive, Huntington, WV 25704 2019-10-03
1568948958 Jessica E Hall Assistant Behavior Analyst 4614 Waverly Road, Huntington, WV 25704 2018-07-18
1538662457 Abayomi Adeyi Nurse Practitioner Huntington Va Medical Center 1540 Spring Valley Drive, Huntington, WV 25704 2018-03-16
1851807242 Shirley Meldave Ross Technician 1591 Buffalo Creek Road, Huntington, WV 25704 2017-12-20
1245772045 Emily Marie Miller Massage Therapist 3637 Hughes St, Huntington, WV 25704 2016-11-09
1265785737 William M Jennings IIi Internal Medicine 1448 10th Avenue, Suite 100, Huntington, WV 25704 2012-10-22
1477709921 Huntington Va Medical Center General Acute Care Hospital 540 Spring Valley Dr, Huntington, WV 25704 2008-08-15
Find all providers in zip 25704

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003040064 Joseph Charles Roccosalvo Counselor 320 Nassau Rd Apt 205, Huntington, NY 11743-4344 2009-05-06
1285850073 Dustin E Holbrook Counselor 624 9th St, Huntington, WV 25701 2007-04-18
1669538690 Leslie Janet Temme Counselor 454 New York Ave, Huntington, NY 11743-3432 2006-12-27
1366535478 Susan L Coyer Counselor 1420 Washington Ave, Huntington, WV 25704-1519 2006-10-02
1205447059 Reconnections, LLC. Counselor 1650 8th Ave, Huntington, WV 25703-1702 2020-08-14
1356907307 Michele Lauren Glaser Counselor 423 Park Ave, Huntington, NY 11743-2803 2019-05-15
1982132361 Amy Humphrey Counselor 2585 3rd Ave, Huntington, WV 25703-1642 2017-05-30
1467804989 Gisel Agostino Counselor 423 Park Ave, 3rd Floor, Huntington, NY 11743-2803 2016-07-08
1881051027 Daniela Yovino Counselor 55 Horizon Dr, Huntington, NY 11743-4436 2016-01-19
1003291675 Dana Burton Counselor 55 Horizon Dr, Huntington, NY 11743-4436 2015-07-24
Find all providers in HUNTINGTON

Competitor

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City HUNTINGTON
Zip Code 25704

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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