| Serenity Therapy Services | |
|
4607 Charlotte Hwy Ste 18 Lake Wylie SC 29710-8149 | |
| (803) 620-5409 | |
| Not Available |
| Full Name | Serenity Therapy Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4607 Charlotte Hwy Ste 18, Lake Wylie, South Carolina |
| Authorized Official Name and Position | Rodney Ballard (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8036205777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Therapy Services 4607 Charlotte Hwy Ste 18 Lake Wylie SC 29710-8149 Ph: (803) 620-5409 | Serenity Therapy Services 4607 Charlotte Hwy Ste 18 Lake Wylie SC 29710-8149 Ph: (803) 620-5409 |
| NPI Number | 1568060291 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 10/26/2020 |
| Certification Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568060291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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