Provider Demographics
NPI:1063008563
Name:KAZSMER COUNSELING SERVICE INC
Entity Type:Organization
Organization Name:KAZSMER COUNSELING SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZSMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCCS
Authorized Official - Phone:216-544-4840
Mailing Address - Street 1:2140 ATKINS AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-5406
Mailing Address - Country:US
Mailing Address - Phone:216-544-4840
Mailing Address - Fax:
Practice Address - Street 1:15522 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4024
Practice Address - Country:US
Practice Address - Phone:216-544-4840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty