| Serenity Counseling Llc | |
|
270 Amity Rd Suite 130 Woodbridge CT 06525-2236 | |
| (203) 843-0162 | |
| (203) 230-2415 |
| Full Name | Serenity Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 270 Amity Rd, Woodbridge, Connecticut |
| Authorized Official Name and Position | Beverley Charmaine Phillips-lewis (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2038430162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling Llc 32 Hobson Ave Hamden CT 06514-2506 Ph: (203) 843-0162 | Serenity Counseling Llc 270 Amity Rd Suite 130 Woodbridge CT 06525-2236 Ph: (203) 843-0162 |
| NPI Number | 1386197010 |
|---|---|
| Provider Enumeration Date | 07/29/2016 |
| Last Update Date | 07/29/2016 |
| Medicare PECOS PAC ID | 6608286521 |
|---|---|
| Medicare Enrollment ID | O20201104002893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386197010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Beverly C Phillips-lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265784607 PECOS PAC ID: 6507150281 Enrollment ID: I20160803000399 |
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