| Serene Life Counseling, Llc | |
|
912 Killian Hill Rd Sw Ste 202e Lilburn GA 30047-3110 | |
| (770) 765-7759 | |
| Not Available |
| Full Name | Serene Life Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 912 Killian Hill Rd Sw Ste 202e, Lilburn, Georgia |
| Authorized Official Name and Position | Irene Elizabeth Ferguson (OWNER/THERAPIST) |
| Authorized Official Contact | 7707657759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Life Counseling, Llc 912 Killian Hill Rd Sw Ste 202e Lilburn GA 30047-3110 Ph: (770) 765-7759 | Serene Life Counseling, Llc 912 Killian Hill Rd Sw Ste 202e Lilburn GA 30047-3110 Ph: (770) 765-7759 |
| NPI Number | 1124880364 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 0749624443 |
|---|---|
| Medicare Enrollment ID | O20240221003003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124880364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Irene Elizabeth Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326519802 PECOS PAC ID: 1658715354 Enrollment ID: I20240221003175 |
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