| Serenity Outpatient Services Llc | |
|
1717 W Northwest Blvd Suite C Spokane WA 99205 | |
| (509) 325-0777 | |
| (509) 325-3464 |
| Full Name | Serenity Outpatient Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1717 W Northwest Blvd, Spokane, Washington |
| Authorized Official Name and Position | Sheri Lynn Hoveskeland (OWNER) |
| Authorized Official Contact | 5093250777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Outpatient Services Llc 1717 W Northwest Blvd Suite C Spokane WA 99205 Ph: (509) 325-0777 | Serenity Outpatient Services Llc 1717 W Northwest Blvd Suite C Spokane WA 99205 Ph: (509) 325-0777 |
| NPI Number | 1477694727 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477694727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00004728 (Washington) | Primary |
| 101YM0800X | Counselor - Mental Health | LH00009556 (Washington) | Secondary |
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