| Serenity Counseling & Resource Center, Inc | |
|
1510 Martin St Ste 103 Winston Salem NC 27103-4931 | |
| (336) 287-7929 | |
| (336) 287-7929 |
| Full Name | Serenity Counseling & Resource Center, Inc |
|---|---|
| Speciality | Counselor |
| Location | 1510 Martin St Ste 103, Winston Salem, North Carolina |
| Authorized Official Name and Position | Kimberly M. Cuthrell (PRESIDENTCHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3362877929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling & Resource Center, Inc 1510 Martin St Ste 103 Winston Salem NC 27103-4931 Ph: (336) 287-7929 | Serenity Counseling & Resource Center, Inc 1510 Martin St Ste 103 Winston Salem NC 27103-4931 Ph: (336) 287-7929 |
| NPI Number | 1669650503 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 03/23/2020 |
| Certification Date | 03/23/2020 |
| Medicare PECOS PAC ID | 2668647900 |
|---|---|
| Medicare Enrollment ID | O20111214000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669650503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6709 (North Carolina) | Primary |
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