| Serenity Child And Youth Counseling, Llc | |
|
725 West Drive Deridder LA 70634 | |
| (337) 348-1133 | |
| Not Available |
| Full Name | Serenity Child And Youth Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 725 West Drive, Deridder, Louisiana |
| Authorized Official Name and Position | Melissa Maddox (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3373481133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Child And Youth Counseling, Llc Po Box 92 Rosepine LA 70659-0092 Ph: (337) 348-1133 | Serenity Child And Youth Counseling, Llc 725 West Drive Deridder LA 70634 Ph: (337) 348-1133 |
| NPI Number | 1982392262 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982392262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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