Organization Name: | SERENITY PASTORAL COUNSELING CENTER |
NPI Number: | 1144627290 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA LAVEIST-BELL (OWNER/SENIOR THERAPIST) |
Mailing Address: | 655 Main St Reisterstown |
State: | MD US |
Postal Code: | 211361956 |
Phone Number: | 4109772571 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2014 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | LC2259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |