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SERENITY THERAPEUTIC COUNSELING SERVICES NPI 1881969459


NPI Information

NPI: 1881969459
Provider Name: SERENITY THERAPEUTIC COUNSELING SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1612 MCGUCKIAN AVE SUITE 3
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 333-9340
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SERENITY THERAPEUTIC COUNSELING SERVICES is a professional counselor in Annapolis, MD. SERENITY THERAPEUTIC COUNSELING SERVICES NPI is 1881969459. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1612 MCGUCKIAN AVE SUITE 3
ANNAPOLIS, MD
ZIP 21401-024
Phone: (443) 333-9340

The provider's authorized official is Kendra Lorraine Jackson .
The authorized official title is Clinical Director/therapist and has the following contact phone number (443) 333-9340.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/28/2012.


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
1101YP2500XCounselorProfessionalLC4153MARYLANDYes

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
10459291-00MEDICAIDMARYLAND

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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