Organization Name: | SERENITYS SOULFUL HEALING WELLNESS COUNSELING AND CONSULTATION |
NPI Number: | 1104287994 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOY ANN GRAHAM (OWNER/CEO) |
Mailing Address: | 229 W Marietta St Box 242 Woodsfield |
State: | OH US |
Postal Code: | 437931051 |
Phone Number: | 7404729022 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2016 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0004359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |