Organization Name: | SERENITY COUNSELING & WELLNESS, INC |
NPI Number: | 1063875789 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNESE HUTCHINS (PRESIDENT) |
Mailing Address: | 209 Park Place Cv Suite E Pearl |
State: | MS US |
Postal Code: | 392088948 |
Phone Number: | 6014202210 |
Fax Number: | 6014202210 |
NPI Enumeration Date: | 03/31/2016 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1817 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |