GENESIS BEHAVIORAL SERVICES INCORPORATED NPI 1265994982

NPI Information

NPI: 1265994982
Provider Name: GENESIS BEHAVIORAL SERVICES INCORPORATED
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
25701 N LAKELAND BLVD STE 403
EUCLID, OH
ZIP 44132
Phone: (949) 500-3155
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GENESIS BEHAVIORAL SERVICES INCORPORATED is a mental health counselor in Euclid, OH. GENESIS BEHAVIORAL SERVICES INCORPORATED NPI is 1265994982. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25701 N LAKELAND BLVD STE 403
EUCLID, OH
ZIP 44132-453
Phone: (949) 500-3155

The provider's authorized official is Nabil Abouriche .
The authorized official title is President and has the following contact phone number (216) 273-7000.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 7/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0377389	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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