| Serenity Behavioral Therapies, Pllc | |
|
200 Valencia Dr Ste 162 Jacksonville NC 28546-6314 | |
| (910) 381-3010 | |
| (910) 378-7931 |
| Full Name | Serenity Behavioral Therapies, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 200 Valencia Dr Ste 162, Jacksonville, North Carolina |
| Authorized Official Name and Position | Jameszetta Thompson Hardison (OWNER/OPERATOR) |
| Authorized Official Contact | 9103813010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Behavioral Therapies, Pllc 200 Valencia Dr Ste 162 Jacksonville NC 28546-6314 Ph: (910) 381-3010 | Serenity Behavioral Therapies, Pllc 200 Valencia Dr Ste 162 Jacksonville NC 28546-6314 Ph: (910) 381-3010 |
| NPI Number | 1821879057 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 6406370352 |
|---|---|
| Medicare Enrollment ID | O20250411002912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821879057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jameszetta Hardison |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043296585 PECOS PAC ID: 7113441072 Enrollment ID: I20250411003019 |
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