Provider Demographics
NPI:1467244020
Name:GENESIS FAMILY INC.
Entity type:Organization
Organization Name:GENESIS FAMILY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RENS DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE KONING
Authorized Official - Suffix:
Authorized Official - Credentials:CPRC
Authorized Official - Phone:713-999-5425
Mailing Address - Street 1:17629 EL CAMINO REAL STE 202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-6004
Mailing Address - Country:US
Mailing Address - Phone:713-913-4575
Mailing Address - Fax:
Practice Address - Street 1:17629 EL CAMINO REAL STE 202
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-6004
Practice Address - Country:US
Practice Address - Phone:713-913-4575
Practice Address - Fax:361-360-0946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty