| Serenity Wellness Counseling, Llc | |
|
18718 Northridge Dr Hagerstown MD 21742-2452 | |
| (240) 291-8027 | |
| (240) 402-6520 |
| Full Name | Serenity Wellness Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 18718 Northridge Dr, Hagerstown, Maryland |
| Authorized Official Name and Position | Tricia Doherty (OWNER) |
| Authorized Official Contact | 2402918027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Wellness Counseling, Llc 18718 Northridge Dr Hagerstown MD 21742-2452 Ph: (240) 291-8027 | Serenity Wellness Counseling, Llc 18718 Northridge Dr Hagerstown MD 21742-2452 Ph: (240) 291-8027 |
| NPI Number | 1558800649 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Medicare PECOS PAC ID | 0547704702 |
|---|---|
| Medicare Enrollment ID | O20240628000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558800649 | NPI | - | NPPES |
| 0500925-00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC4218 (Maryland) | Primary |
| Provider Name | Tricia Jane Doherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861762999 PECOS PAC ID: 9537603709 Enrollment ID: I20240628000389 |
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