| Serenity Center Of Youngstown, Llc | |
|
11369 Market St North Lima OH 44452-9782 | |
| (330) 965-9999 | |
| (330) 757-0000 |
| Full Name | Serenity Center Of Youngstown, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11369 Market St, North Lima, Ohio |
| Authorized Official Name and Position | Cyndee Fisher (CONTRACTING COORDINATOR) |
| Authorized Official Contact | 3309659999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Center Of Youngstown, Llc 11369 Market St North Lima OH 44452-9782 Ph: (330) 965-9999 | Serenity Center Of Youngstown, Llc 11369 Market St North Lima OH 44452-9782 Ph: (330) 965-9999 |
| NPI Number | 1760861249 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 3870893472 |
|---|---|
| Medicare Enrollment ID | O20151203003361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760861249 | NPI | - | NPPES |
| 0193654 | Medicaid | OH | |
| 0193685 | Medicaid | OH | |
| 0134669 | Medicaid | OH |
| Provider Name | Muhannad Kassawat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023266533 PECOS PAC ID: 3274698436 Enrollment ID: I20090223000339 |
| Provider Name | Catina R Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396058483 PECOS PAC ID: 2567587595 Enrollment ID: I20100915000183 |
| Provider Name | Rachel Chmielewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306096482 PECOS PAC ID: 4082932884 Enrollment ID: I20150407001135 |
| Provider Name | Kristin Amanda Tatarka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821489220 PECOS PAC ID: 5294041091 Enrollment ID: I20150824002203 |
| Provider Name | Marisa Mook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003166596 PECOS PAC ID: 1456658921 Enrollment ID: I20160328002197 |
| Provider Name | Jennifer Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174994693 PECOS PAC ID: 2860702735 Enrollment ID: I20171003007163 |
| Provider Name | Kimberly Ann Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750870333 PECOS PAC ID: 7113270810 Enrollment ID: I20181026000277 |
| Provider Name | James E Baluck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336502939 PECOS PAC ID: 0941543698 Enrollment ID: I20190520002807 |
| Provider Name | Alexander Marosy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285157610 PECOS PAC ID: 5991131104 Enrollment ID: I20200206002990 |
| Provider Name | Lauren Madrid Treharn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112223 PECOS PAC ID: 8426476979 Enrollment ID: I20200915001826 |
| Provider Name | Amanda Winkler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700363819 PECOS PAC ID: 2961812920 Enrollment ID: I20201102001812 |
| Provider Name | Nicholas Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467819367 PECOS PAC ID: 1759796345 Enrollment ID: I20210211002677 |
| Provider Name | Renee Mcmanus |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265789796 PECOS PAC ID: 0547411993 Enrollment ID: I20220829002339 |
| Provider Name | Melissa Ann Brian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669937108 PECOS PAC ID: 2860858974 Enrollment ID: I20230516001713 |
Serenity Center Of Youngstown, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11369 Market St, North Lima, OH 44452 Phone: 330-965-9999 Fax: 330-757-0000 | |
Serenity Center Of Youngstown Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11369 Market St, North Lima, OH 44452 Phone: 330-965-9999 Fax: 330-757-0000 | |
Roots To Healing Counseling & Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11369 Market St Ste B, North Lima, OH 44452 Phone: 330-429-1747 |