| Serenity Center | |
|
3146 Broad St Chattanooga TN 37408-3095 | |
| (423) 800-0483 | |
| (423) 521-8088 |
| Full Name | Serenity Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3146 Broad St, Chattanooga, Tennessee |
| Authorized Official Name and Position | Susan Elaine Hickman (OWNER) |
| Authorized Official Contact | 4238000483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Center 3146 Broad St Chattanooga TN 37408-3095 Ph: (423) 800-0483 | Serenity Center 3146 Broad St Chattanooga TN 37408-3095 Ph: (423) 800-0483 |
| NPI Number | 1023347838 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023347838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P0000002807 (Tennessee) | Primary |
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