| Serenity Therapy And Wellness, Inc. | |
|
45 N Main St Ste 301 Fall River MA 02720-2133 | |
| (774) 930-7142 | |
| Not Available |
| Full Name | Serenity Therapy And Wellness, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 45 N Main St Ste 301, Fall River, Massachusetts |
| Authorized Official Name and Position | Lisa O'brien (PRESIDENT) |
| Authorized Official Contact | 7749307142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Therapy And Wellness, Inc. 538 Center St Fall River MA 02724-2765 Ph: (774) 930-7142 | Serenity Therapy And Wellness, Inc. 45 N Main St Ste 301 Fall River MA 02720-2133 Ph: (774) 930-7142 |
| NPI Number | 1639893514 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 3870942972 |
|---|---|
| Medicare Enrollment ID | O20231214002804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639893514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356859284 PECOS PAC ID: 1850765074 Enrollment ID: I20230329002051 |
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