# GENESIS BEHAVIORAL SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265994982
- **Authorized official:** NABIL ABOURICHE (PRESIDENT)
- **Authorized official phone:** (216) 273-7000

## Contact information

- **Practice address:** 25701 N LAKELAND BLVD STE 403, EUCLID, OH 44132-2453
- **Practice address phone:** (949) 500-3155
- **Mailing address:** 25701 N LAKELAND BLVD STE 403, EUCLID, OH 44132-2453
- **Mailing address phone:** (216) 273-7000
- **Mailing address fax:** (216) 273-7371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2019
- **Last updated:** 07/27/2021
