| Serenity Life Counseling Center Llc | |
|
804 N Hoagland Blvd Kissimmee FL 34741-4518 | |
| (407) 797-7298 | |
| (407) 386-3201 |
| Full Name | Serenity Life Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 804 N Hoagland Blvd, Kissimmee, Florida |
| Authorized Official Name and Position | Oswaldo Jose Perez (CEO) |
| Authorized Official Contact | 4077977298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Life Counseling Center Llc 111 N Orange Ave Ste 800 Orlando FL 32801-2381 Ph: (407) 797-7298 | Serenity Life Counseling Center Llc 804 N Hoagland Blvd Kissimmee FL 34741-4518 Ph: (407) 797-7298 |
| NPI Number | 1346725413 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 7618301342 |
|---|---|
| Medicare Enrollment ID | O20200106000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346725413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Provider Name | Oswaldo J Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306266879 PECOS PAC ID: 6204991359 Enrollment ID: I20240712003684 |
| Provider Name | Shar D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790561116 PECOS PAC ID: 3476094012 Enrollment ID: I20240923001717 |
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