Organization Name: | SERENITY COUNSELING PLACE |
NPI Number: | 1225477284 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA DEWITT (OWNER) |
Mailing Address: | 100 City Ln Darlington |
State: | SC US |
Postal Code: | 295323224 |
Phone Number: | 8433932773 |
Fax Number: | 8433932775 |
NPI Enumeration Date: | 06/22/2013 |
NPI Last Update Date: | 06/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4678 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |