| Serenity Christian Counseling, Llc | |
|
5065 W 16th St Speedway IN 46224-6509 | |
| (765) 618-1907 | |
| Not Available |
| Full Name | Serenity Christian Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5065 W 16th St, Speedway, Indiana |
| Authorized Official Name and Position | Emily Miller (CEO/PROVIDER) |
| Authorized Official Contact | 7656181907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Christian Counseling, Llc 5065 W 16th St Speedway IN 46224-6509 Ph: (765) 618-1907 | Serenity Christian Counseling, Llc 5065 W 16th St Speedway IN 46224-6509 Ph: (765) 618-1907 |
| NPI Number | 1982383220 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Medicare PECOS PAC ID | 9032550017 |
|---|---|
| Medicare Enrollment ID | O20240508000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982383220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Emily M Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861659047 PECOS PAC ID: 0941641922 Enrollment ID: I20240508000917 |
Prolific Community Partners Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5421 Meadowood Dr, Speedway, IN 46224 Phone: 812-841-7486 |