Serenity Counseling Llc | |
20 Northwoods Blvd Suite B1 Columbus OH 43235-4729 | |
(614) 876-1067 | |
(614) 777-7366 |
Full Name | Serenity Counseling Llc |
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Speciality | Social Worker |
Location | 20 Northwoods Blvd, Columbus, Ohio |
Authorized Official Name and Position | Susan M Dindal (OWNER) |
Authorized Official Contact | 6148761067 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Serenity Counseling Llc Po Box 1557 Reynoldsburg OH 43068-6557 Ph: (614) 876-1067 | Serenity Counseling Llc 20 Northwoods Blvd Suite B1 Columbus OH 43235-4729 Ph: (614) 876-1067 |
NPI Number | 1225438112 |
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Provider Enumeration Date | 08/27/2014 |
Last Update Date | 08/27/2014 |
Medicare PECOS PAC ID | 9032331723 |
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Medicare Enrollment ID | O20141113000467 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225438112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I0004707 (Ohio) | Primary |
Provider Name | Susan M Dindal |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568512457 PECOS PAC ID: 4688716509 Enrollment ID: I20100115000002 |
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