| Serenity Healing Counseling Center Llc | |
|
7132 Capri St Portage MI 49002-9415 | |
| (269) 567-8127 | |
| Not Available |
| Full Name | Serenity Healing Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7132 Capri St, Portage, Michigan |
| Authorized Official Name and Position | Latieca Williams (OWNER) |
| Authorized Official Contact | 2695678127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Healing Counseling Center Llc 7132 Capri St Portage MI 49002-9415 Ph: (269) 567-8127 | Serenity Healing Counseling Center Llc 7132 Capri St Portage MI 49002-9415 Ph: (269) 567-8127 |
| NPI Number | 1831829118 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/14/2025 |
| Medicare PECOS PAC ID | 8527439512 |
|---|---|
| Medicare Enrollment ID | O20230131001180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831829118 | NPI | - | NPPES |
| Provider Name | Latieca Anotoinette Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265185375 PECOS PAC ID: 9436520426 Enrollment ID: I20230131001313 |
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