| Serenity Counseling Center | |
|
508 W Clayton St Dayton TX 77535-2404 | |
| (936) 262-7800 | |
| Not Available |
| Full Name | Serenity Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 508 W Clayton St, Dayton, Texas |
| Authorized Official Name and Position | Wendy Soliday (VICE PRESIDENT) |
| Authorized Official Contact | 9362627800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling Center Po Box 38 Dayton TX 77535-0001 Ph: (936) 262-7800 | Serenity Counseling Center 508 W Clayton St Dayton TX 77535-2404 Ph: (936) 262-7800 |
| NPI Number | 1245943406 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Medicare PECOS PAC ID | 1153854732 |
|---|---|
| Medicare Enrollment ID | O20241105000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245943406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shannon Renee Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174246839 PECOS PAC ID: 7416480090 Enrollment ID: I20241105000048 |
| Provider Name | Sherene Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073022265 PECOS PAC ID: 5799226627 Enrollment ID: I20241120001147 |
| Provider Name | Elizabeth Reyna-gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114527991 PECOS PAC ID: 1951836097 Enrollment ID: I20241126001004 |
| Provider Name | Teresa Ann Trousdale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578380481 PECOS PAC ID: 9133654288 Enrollment ID: I20241126001407 |
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