Provider Demographics
NPI:1285752733
Name:GENYK, RUTH BEL (MA, LMSW, LMFT)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:BEL
Last Name:GENYK
Suffix:
Gender:F
Credentials:MA, LMSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2301 E MICHIGAN AVE
Mailing Address - Street 2:SUITE105
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3765
Mailing Address - Country:US
Mailing Address - Phone:517-782-8313
Mailing Address - Fax:517-529-9063
Practice Address - Street 1:2301 E MICHIGAN AVE
Practice Address - Street 2:SUITE105
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-3700
Practice Address - Country:US
Practice Address - Phone:517-782-8313
Practice Address - Fax:517-529-9063
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010582441041C0700X
MI4101005794106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIBM380014OtherMCARE
MICOUN 0799177OtherDEPT HUMAN SERVICES
MI040417OtherVALUE OPTIONS
MIIP2081012OtherMAGELLAN