| Serenity Counseling Center Nj Llc | |
|
70 Schanck Rd Ste E Freehold NJ 07728-5310 | |
| (732) 577-7930 | |
| (609) 939-0700 |
| Full Name | Serenity Counseling Center Nj Llc |
|---|---|
| Speciality | Counselor |
| Location | 70 Schanck Rd Ste E, Freehold, New Jersey |
| Authorized Official Name and Position | Rosemarie Genovese (OWNER) |
| Authorized Official Contact | 7325777930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling Center Nj Llc 70 Schanck Rd Ste E Freehold NJ 07728-5310 Ph: (732) 577-7930 | Serenity Counseling Center Nj Llc 70 Schanck Rd Ste E Freehold NJ 07728-5310 Ph: (732) 577-7930 |
| NPI Number | 1730846239 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 5890179402 |
|---|---|
| Medicare Enrollment ID | O20220831002035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730846239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kene Booker Mahatha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568992659 PECOS PAC ID: 7113300674 Enrollment ID: I20220816001284 |
| Provider Name | Diane Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154748333 PECOS PAC ID: 2769866227 Enrollment ID: I20220901000061 |
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