Simple Serenity Therapy Center

LBN: Simple Serenity Therapy Center
Simple Serenity Therapy Center is an health care organization with primary practice located at 125 Tejah Ave , Syracuse NY 13210. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as the primary health care specialty. Simple Serenity Therapy Center can be contacted via phone (315) 313-4733, or through Defurio, Nicole via phone (315) 806-3008.

Contact Information

Primary practice address
125 Tejah Ave Syracuse NY 13210
Phone: (315) 313-4733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Defurio, Nicole LCSW-R
Phone: (315) 806-3008

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1528631504
LBN Legal business name Simple Serenity Therapy Center
DBA Doing business as
Authorized official Defurio, Nicole LCSW-R
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528631504 NPPES
New York MEDICAID 04125137

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