| Serenity Now Psychiatric & Counseling Services | |
|
2125 16th St Bedford IN 47421-3003 | |
| (812) 275-4053 | |
| Not Available |
| Full Name | Serenity Now Psychiatric & Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2125 16th St, Bedford, Indiana |
| Authorized Official Name and Position | David L. Miller (CEO) |
| Authorized Official Contact | 8128494447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Now Psychiatric & Counseling Services 2125 16th St Bedford IN 47421-3003 Ph: (812) 275-4053 | Serenity Now Psychiatric & Counseling Services 2125 16th St Bedford IN 47421-3003 Ph: (812) 275-4053 |
| NPI Number | 1376813147 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Medicare PECOS PAC ID | 4082767496 |
|---|---|
| Medicare Enrollment ID | O20120222000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376813147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Robert H Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649058660 PECOS PAC ID: 5395709398 Enrollment ID: I20041118000958 |
| Provider Name | John L Eckard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083603187 PECOS PAC ID: 6406906098 Enrollment ID: I20090602000212 |
| Provider Name | Paralee Daggy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639474588 PECOS PAC ID: 7810178886 Enrollment ID: I20110223000995 |
| Provider Name | Thomas A Trent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144459835 PECOS PAC ID: 8527246065 Enrollment ID: I20110714000199 |
| Provider Name | Cara L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003150582 PECOS PAC ID: 7315265568 Enrollment ID: I20150420000359 |
| Provider Name | Carrie Darlene Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619323623 PECOS PAC ID: 7113211863 Enrollment ID: I20160803002336 |
| Provider Name | Terri S. Klingelhoefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497056006 PECOS PAC ID: 6002178662 Enrollment ID: I20180319001303 |
| Provider Name | Alyson Grider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558943316 PECOS PAC ID: 4587072764 Enrollment ID: I20210428001744 |
| Provider Name | Haley Maranda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912416108 PECOS PAC ID: 2961851761 Enrollment ID: I20231205002523 |
| Provider Name | Katelyn Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346835576 PECOS PAC ID: 1254780901 Enrollment ID: I20231207000857 |
| Provider Name | Brittany Ferrari |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629732318 PECOS PAC ID: 5395181051 Enrollment ID: I20240315003082 |
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