| Serenity Counseling, Llc | |
|
4050 Lake Otis Pkwy Ste 105 Anchorage AK 99508-5220 | |
| (907) 433-9628 | |
| Not Available |
| Full Name | Serenity Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4050 Lake Otis Pkwy Ste 105, Anchorage, Alaska |
| Authorized Official Name and Position | Dennis Gall (PSYCHOLOGIST) |
| Authorized Official Contact | 9074339628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling, Llc 3761 Winterset Dr Anchorage AK 99508-5039 Ph: (907) 433-9628 | Serenity Counseling, Llc 4050 Lake Otis Pkwy Ste 105 Anchorage AK 99508-5220 Ph: (907) 433-9628 |
| NPI Number | 1851960538 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Medicare PECOS PAC ID | 7517361025 |
|---|---|
| Medicare Enrollment ID | O20210805001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851960538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dennis Gall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023567831 PECOS PAC ID: 9335543842 Enrollment ID: I20210805003139 |
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