| Serenity Counseling And Support Services | |
|
6879 W Charleston Blvd Suite A Las Vegas NV 89117-1672 | |
| (702) 308-4807 | |
| (702) 479-7173 |
| Full Name | Serenity Counseling And Support Services |
|---|---|
| Speciality | Social Worker |
| Location | 6879 W Charleston Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Sommer Thyme Bergdale (CO-OWNER) |
| Authorized Official Contact | 7023760024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling And Support Services 6879 W Charleston Blvd Suite A Las Vegas NV 89117-1672 Ph: (702) 308-4807 | Serenity Counseling And Support Services 6879 W Charleston Blvd Suite A Las Vegas NV 89117-1672 Ph: (702) 308-4807 |
| NPI Number | 1972814630 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 5698076602 |
|---|---|
| Medicare Enrollment ID | O20161024001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972814630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5554-C (Nevada) | Primary |
| Provider Name | Sara Ashley Bilik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750616231 PECOS PAC ID: 2668773680 Enrollment ID: I20161028001076 |
| Provider Name | Brooks Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003267923 PECOS PAC ID: 0143654665 Enrollment ID: I20191226001933 |
| Provider Name | Brittany Anne Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689983819 PECOS PAC ID: 1254762701 Enrollment ID: I20200515002555 |
| Provider Name | William Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679797633 PECOS PAC ID: 6002906096 Enrollment ID: I20200622000938 |
| Provider Name | Margaret C Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063842045 PECOS PAC ID: 3971925744 Enrollment ID: I20200624001288 |
| Provider Name | Karina Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700320868 PECOS PAC ID: 4183047475 Enrollment ID: I20200702002557 |
| Provider Name | Jaclyn Mustachio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386162147 PECOS PAC ID: 3173991734 Enrollment ID: I20221201003060 |
| Provider Name | Sommer Bergdale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013243591 PECOS PAC ID: 6507167517 Enrollment ID: I20240410001358 |
| Provider Name | Carlye Rowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639706856 PECOS PAC ID: 3779923222 Enrollment ID: I20240430004491 |
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