| Serenity Counseling And Services. Llc | |
|
91 Shelton Ave New Haven CT 06511 | |
| (475) 238-8355 | |
| (475) 238-8355 |
| Full Name | Serenity Counseling And Services. Llc |
|---|---|
| Speciality | Social Worker |
| Location | 91 Shelton Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Damaris Rodriguez (SOCIAL WORKER) |
| Authorized Official Contact | 2036762402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling And Services. Llc 18 Donna Ln West Haven CT 06516-5521 Ph: (203) 676-2402 | Serenity Counseling And Services. Llc 91 Shelton Ave New Haven CT 06511 Ph: (475) 238-8355 |
| NPI Number | 1962980193 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 08/27/2018 |
| Medicare PECOS PAC ID | 7618229857 |
|---|---|
| Medicare Enrollment ID | O20181016002590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962980193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009488 (Connecticut) | Primary |
| Provider Name | Damaris Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104157254 PECOS PAC ID: 4587950753 Enrollment ID: I20160914001991 |
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