SERENITY CHRISTIAN COUNSELING NPI 1316432636

NPI Information

  • NPI: 1316432636
  • Provider Name: SERENITY CHRISTIAN COUNSELING
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • CLIA Number: 36D2271959
  • Address: 125 S MAIN ST STE 305
    FOSTORIA, OH
    ZIP 44830
  • Phone: (567) 429-1000

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NPI Details

SERENITY CHRISTIAN COUNSELING is a professional counselor in Fostoria, OH. SERENITY CHRISTIAN COUNSELING NPI is 1316432636. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 S MAIN ST STE 305
FOSTORIA, OH
ZIP 44830-361
Phone: (567) 429-1000
Fax: (419) 436-7460

The provider's authorized official is Tecky Ann Rusk .
The authorized official title is Owner/clinical Director and has the following contact phone number (567) 429-1000.

The CLIA number assigned to this NPI record is 36D2271959 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2018 and was last updated on 4/10/2025.

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
1101YP2500XCounselorProfessionalE.1800504OHIONo
2101YP2500XCounselorProfessionalYes
31041C0700XSocial WorkerClinicalNo

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: 11/21/2025

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