SERENA POLAND LPC NPI 1740767623

NPI Information

NPI: 1740767623
Provider Name: SERENA POLAND, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3019 S HUDSPETH AVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 841-8821
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Serena Poland, LPC is a mental health counselor in Meridian, ID. Serena Poland, LPC NPI is 1740767623. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3019 S HUDSPETH AVE
MERIDIAN, ID
ZIP 83642-815
Phone: (208) 841-8821

The enumeration date for this NPI number is 7/24/2018 and was last updated on 7/24/2018.

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	LPC-6955	IDAHO	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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