Organization
GENESIS COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FIKTER (MD)
(440) 543-8880
Entity
Organization
Contact information
Practice address
17747 CHILLICOTHE RD STE 105, CHAGRIN FALLS, OH 44023-4765
(440) 543-8880
Mailing address
17747 CHILLICOTHE RD STE 105, CHAGRIN FALLS, OH 44023-4765
(440) 543-8880
(440) 543-5911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.063299
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136790
ANTHEM BLUE CROSS
—
05
—
0147004
—
OH
01
—
191762
VALUE OPTIONS
—
01
—
5781747
AETNA
—
Enumeration date
08/15/2007
Last updated
12/06/2024
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