Serenity Counseling Services Pa
LBN: Serenity Counseling Services Pa
Serenity Counseling Services Pa is an health care organization with primary practice located at 500 Nw Dixie Hwy Suite 102, Stuart FL 34994. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Serenity Counseling Services Pa can be contacted via phone (772) 692-8585, or through Broadwell, Gilda G via phone (772) 692-8585.
Contact Information
Primary practice address
500 Nw Dixie Hwy Suite 102
Stuart FL 34994
Phone: (772) 692-8585
Fax: (772) 692-5651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY5591 | Florida |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 1943AD620400 | Florida |
Profile Details
| NPI number | 1275689812 |
|---|---|
| LBN Legal business name | Serenity Counseling Services Pa |
| DBA Doing business as | |
| Authorized official | Broadwell, Gilda G PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Oct 23rd, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275689812 | NPPES |
| Florida | Other | 15-43-AD-6204-00 | C&F SUB ABUSE COUNSELING |
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