Serene Counseling Services, Pllc | |
2501 Chatham Rd Ste N Springfield IL 62704-4188 | |
(217) 257-5202 | |
Not Available |
Full Name | Serene Counseling Services, Pllc |
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Speciality | Counselor |
Location | 2501 Chatham Rd Ste N, Springfield, Illinois |
Authorized Official Name and Position | Sheerine Bazargani (OWNER/THERAPIST) |
Authorized Official Contact | 4479108560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serene Counseling Services, Pllc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (217) 257-5202 | Serene Counseling Services, Pllc 2501 Chatham Rd Ste N Springfield IL 62704-4188 Ph: (217) 257-5202 |
NPI Number | 1508647801 |
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Provider Enumeration Date | 10/12/2023 |
Last Update Date | 03/12/2024 |
Certification Date | 11/10/2023 |
Medicare PECOS PAC ID | 3375985690 |
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Medicare Enrollment ID | O20240531000947 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508647801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Sheerine T Bazargani |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1922543719 PECOS PAC ID: 1951749209 Enrollment ID: I20240404003439 |
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