Serenity Counseling Services Pa in Stuart - Psychologist

Serenity Counseling Services Pa - NPI 1275689812

Serenity Counseling Services Pa is a Psychologist in Stuart, Florida. Serenity Counseling Services Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Serenity Counseling Services Pa is 1275689812. The last update date is 2012-10-23.

Serenity Counseling Services Pa's current location address is Po Box 2474, Stuart, Florida. You can contact this provider via phone number 7726928585 and fax number 7726925651. The mailing address for Serenity Counseling Services Pa is Po Box 2474, Stuart, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Serenity Counseling Services Pa
Address Po Box 2474, Stuart, Florida
Phone Number 7726928585
Fax Number 7726925651
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Broadwell G Gilda
Credentials PHD
Telephone Number 7726928585

NPI Number Detail

NPI Number 1275689812
Provider Enumeration Date 2007-01-26
Last Updated Date 2012-10-23

Provider Mailing Address Detail

Address Po Box 2474
City Stuart
State Florida (FL)
Post Code 34995
Phone Number 7726928585
Fax Number 7726925651

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY5591
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15-43-AD-6204-0 FL C&F SUB ABUSE COUNSELING

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FAQs about Serenity Counseling Services Pa

What is the unique provider identifier assigned to Serenity Counseling Services Pa?

The Serenity Counseling Services Pa has been issued the NPI (National Provider Identifier) 1275689812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Serenity Counseling Services Pa is physically located?

The Serenity Counseling Services Pa is situated at the following address: Po Box 2474, Stuart, FL 34995.

What is the area of specialization for Serenity Counseling Services Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Serenity Counseling Services Pa is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

On what date did the Serenity Counseling Services Pa receive the assignment of its 1275689812 from the Centers for Medicare & Medicaid Services?

The Serenity Counseling Services Pa was issued its 1275689812 by the Centers for Medicare & Medicaid Services on 2007-01-26.

When was the information regarding Serenity Counseling Services Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Serenity Counseling Services Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-23.

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