| Serenity Therapeutic Counseling & Addiction Services Llc | |
|
42627 Garfield Rd Ste 214 Clinton Township MI 48038-5032 | |
| (586) 310-8158 | |
| Not Available |
| Full Name | Serenity Therapeutic Counseling & Addiction Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 42627 Garfield Rd Ste 214, Clinton Township, Michigan |
| Authorized Official Name and Position | Jennifer Jackson (OWNER) |
| Authorized Official Contact | 5863108158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Therapeutic Counseling & Addiction Services Llc 42627 Garfield Rd Ste 214 Clinton Township MI 48038-5032 Ph: () - | Serenity Therapeutic Counseling & Addiction Services Llc 42627 Garfield Rd Ste 214 Clinton Township MI 48038-5032 Ph: (586) 310-8158 |
| NPI Number | 1225810666 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/21/2023 |
| Certification Date | 10/21/2023 |
| Medicare PECOS PAC ID | 4880135896 |
|---|---|
| Medicare Enrollment ID | O20240918000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225810666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alexandra Georgiadis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114585015 PECOS PAC ID: 4587105598 Enrollment ID: I20240918001046 |
| Provider Name | Danielle Booth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851974877 PECOS PAC ID: 2668982794 Enrollment ID: I20250609001400 |
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