Provider Demographics
NPI:1376906289
Name:GEAUGA COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:GEAUGA COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:GUYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-439-4511
Mailing Address - Street 1:18725 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-2336
Mailing Address - Country:US
Mailing Address - Phone:440-708-1787
Mailing Address - Fax:
Practice Address - Street 1:549 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4429
Practice Address - Country:US
Practice Address - Phone:440-439-4511
Practice Address - Fax:440-439-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-1877101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty