Serenity Counseling Pllc | |
977 Lakeview Pkwy Ste 102 Vernon Hills IL 60061-1444 | |
(847) 732-4510 | |
Not Available |
Full Name | Serenity Counseling Pllc |
---|---|
Speciality | Counselor |
Location | 977 Lakeview Pkwy Ste 102, Vernon Hills, Illinois |
Authorized Official Name and Position | Fran Griseta (OWNER) |
Authorized Official Contact | 8479850881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Serenity Counseling Pllc 1987 Wilshire Ct Buffalo Grove IL 60089-8004 Ph: (847) 732-4510 | Serenity Counseling Pllc 977 Lakeview Pkwy Ste 102 Vernon Hills IL 60061-1444 Ph: (847) 732-4510 |
NPI Number | 1336720846 |
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Provider Enumeration Date | 04/16/2021 |
Last Update Date | 04/16/2021 |
Certification Date | 04/16/2021 |
Medicare PECOS PAC ID | 6507265311 |
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Medicare Enrollment ID | O20210527002393 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336720846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Sherry Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043633134 PECOS PAC ID: 1658770466 Enrollment ID: I20210527002661 |
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