SERENITY JOURNEY COUNSELING CENTER LLC NPI 1225635501

NPI Information

NPI: 1225635501
Provider Name: SERENITY JOURNEY COUNSELING CENTER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
155 N RIVERVIEW DR STE 112
ANAHEIM, CA
ZIP 92808
Phone: (714) 422-5773
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SERENITY JOURNEY COUNSELING CENTER LLC is a mental health counselor in Anaheim, CA. SERENITY JOURNEY COUNSELING CENTER LLC NPI is 1225635501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 N RIVERVIEW DR STE 112
ANAHEIM, CA
ZIP 92808-225
Phone: (714) 422-5773
Fax: (714) 202-9870

The provider's authorized official is Ixchel Tellez Fonseca .
The authorized official title is Licensed Marriage Family Therapist and has the following contact phone number (714) 422-5773.

The enumeration date for this NPI number is 10/8/2020 and was last updated on 10/8/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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