| Blue Serenity Therapy Llc | |
|
15 Pamela Ln Sherwood AR 72120-2645 | |
| (501) 944-4660 | |
| Not Available |
| Full Name | Blue Serenity Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15 Pamela Ln, Sherwood, Arkansas |
| Authorized Official Name and Position | Robin Michelle Jackson (OWNER) |
| Authorized Official Contact | 5019444660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Serenity Therapy Llc 15 Pamela Ln Sherwood AR 72120-2645 Ph: (501) 944-4660 | Blue Serenity Therapy Llc 15 Pamela Ln Sherwood AR 72120-2645 Ph: (501) 944-4660 |
| NPI Number | 1649081332 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649081332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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