| Serenity | |
|
301 N High St Antlers OK 74523-2238 | |
| (580) 271-7055 | |
| (580) 271-7056 |
| Full Name | Serenity |
|---|---|
| Speciality | Counselor |
| Location | 301 N High St, Antlers, Oklahoma |
| Authorized Official Name and Position | Malisa Jane Hallman (OWNER / CEO) |
| Authorized Official Contact | 5802711638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity 301 N High St Antlers OK 74523-2238 Ph: (580) 271-7055 | Serenity 301 N High St Antlers OK 74523-2238 Ph: (580) 271-7055 |
| NPI Number | 1336423086 |
|---|---|
| Provider Enumeration Date | 09/29/2011 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Medicare PECOS PAC ID | 7315353992 |
|---|---|
| Medicare Enrollment ID | O20210305000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336423086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0340 (Oklahoma) | Primary |
| Provider Name | Laura Maple Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225297781 PECOS PAC ID: 9335414390 Enrollment ID: I20171002002487 |
| Provider Name | Rachel Elizabeth Stringfellow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124459359 PECOS PAC ID: 7315356896 Enrollment ID: I20210513001406 |
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