Serenityonwheels, Inc. in Ottawa - Addiction (substance Use Disorder)
Serenityonwheels, Inc. - NPI 1154538510
Serenityonwheels, Inc. is a Addiction (substance Use Disorder) in Ottawa, Illinois. Serenityonwheels, Inc. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Serenityonwheels, Inc. is 1154538510. The last update date is 2020-08-22.
Serenityonwheels, Inc.'s current location address is 630 Columbus Street, Ottawa, Illinois. You can contact this provider via phone number 8154318206. The mailing address for Serenityonwheels, Inc. is 630 Columbus Street, Ottawa, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Serenityonwheels, Inc. |
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Address | 630 Columbus Street, Ottawa, Illinois |
Phone Number | 8154318206 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | COUNSELOR |
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Authorized Official Name | Shea Kathleen |
Credentials | LCPC CADC |
Telephone Number | 8154318206 |
NPI Number Detail
NPI Number | 1154538510 |
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Provider Enumeration Date | 2007-05-16 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 630 Columbus Street |
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City | Ottawa |
State | Illinois (IL) |
Post Code | 61350 |
Phone Number | 8154318206 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 6878 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6878 | IL | CADC |
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What is the unique 10-digit identification code assigned to Serenityonwheels, Inc. by the Centers for Medicare & Medicaid Services?
The Serenityonwheels, Inc. has been issued the NPI (National Provider Identifier) 1154538510, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Serenityonwheels, Inc. located?
The Serenityonwheels, Inc. is located at 630 Columbus Street, Ottawa, IL 61350.
What is Serenityonwheels, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Serenityonwheels, Inc. is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154538510 to Serenityonwheels, Inc.?
The Serenityonwheels, Inc. received its 1154538510 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date was the information regarding Serenityonwheels, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Serenityonwheels, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.