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SERENITY FAMILY AND PSYCHOLOGICAL COUNSELING CENTER P.C. NPI 1467859595


NPI Information

NPI: 1467859595
Provider Name: SERENITY FAMILY AND PSYCHOLOGICAL COUNSELING CENTER, P.C.

Doing Business As: SERENITY TRAUMA HEALING CENTER

Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
881 ALMA REAL DR
SUITE 310
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 310-9249
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SERENITY FAMILY AND PSYCHOLOGICAL COUNSELING CENTER, P.C. is a marriage family therapist in Pacific Palisades, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. SERENITY FAMILY AND PSYCHOLOGICAL COUNSELING CENTER, P.C. NPI is 1467859595. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Serenity Trauma Healing Center.

The provider's business location address is:

881 ALMA REAL DR
SUITE 310
PACIFIC PALISADES, CA
ZIP 90272-731
Phone: (310) 310-9249

The provider's authorized official is Joanne G Mednick .
The authorized official title is President/ceo and has the following contact phone number (310) 310-9249.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist36644CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114268497OTHERCALIFORNIASERENITY TRAUMA HEALING CENTER INC
21295076578OTHERCALIFORNIAJOANNE GAIL MEDNICK LMFT 36644

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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