| Serenity Counseling Llc | |
|
1901 S Jones Blvd Las Vegas NV 89146-1260 | |
| (702) 815-1550 | |
| (702) 815-1554 |
| Full Name | Serenity Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1901 S Jones Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Cynthia Cruz (OWNER) |
| Authorized Official Contact | 7026300883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling Llc 1901 S Jones Blvd Las Vegas NV 89146-1260 Ph: (702) 815-1550 | Serenity Counseling Llc 1901 S Jones Blvd Las Vegas NV 89146-1260 Ph: (702) 815-1550 |
| NPI Number | 1366961922 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6103178983 |
|---|---|
| Medicare Enrollment ID | O20181004003128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366961922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ronald Centric |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396845921 PECOS PAC ID: 2264599323 Enrollment ID: I20090318000105 |
| Provider Name | Michael S Mall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972513091 PECOS PAC ID: 0840277331 Enrollment ID: I20101025001303 |
| Provider Name | William P Emmerling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992713671 PECOS PAC ID: 7719122308 Enrollment ID: I20130403000036 |
| Provider Name | Gayle Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174633200 PECOS PAC ID: 1658677968 Enrollment ID: I20160314000850 |
| Provider Name | Ivonne Draughon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861752701 PECOS PAC ID: 1153586540 Enrollment ID: I20170913003184 |
| Provider Name | Christina Gaglione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578869301 PECOS PAC ID: 1951658632 Enrollment ID: I20180726001383 |
| Provider Name | Melinda M Artz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023470739 PECOS PAC ID: 2860729894 Enrollment ID: I20190813002721 |
| Provider Name | Rosa Montez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952683005 PECOS PAC ID: 8628405743 Enrollment ID: I20201222000953 |
| Provider Name | John Conrad Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235538836 PECOS PAC ID: 7911221353 Enrollment ID: I20210114000636 |
| Provider Name | Chelsea M Patow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093089849 PECOS PAC ID: 3678908704 Enrollment ID: I20210203001146 |
| Provider Name | Kandiea Shawti'a Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134439979 PECOS PAC ID: 7113319070 Enrollment ID: I20220404002034 |
| Provider Name | Benson Wanjohi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407441405 PECOS PAC ID: 8628475035 Enrollment ID: I20220404002315 |
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