| Serenity Counseling Services And Therapeutic Martial Arts Llc | |
|
4420 W Columbia Rd Mason MI 48854-9551 | |
| (517) 537-2723 | |
| Not Available |
| Full Name | Serenity Counseling Services And Therapeutic Martial Arts Llc |
|---|---|
| Speciality | Counselor |
| Location | 4420 W Columbia Rd, Mason, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling Services And Therapeutic Martial Arts Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Serenity Counseling Services And Therapeutic Martial Arts Llc 4420 W Columbia Rd Mason MI 48854-9551 Ph: (517) 537-2723 |
| NPI Number | 1295220846 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Medicare PECOS PAC ID | 4486005063 |
|---|---|
| Medicare Enrollment ID | O20240108005344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295220846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 6401014374 (Michigan) | Secondary |
| Provider Name | Valerie Daft |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467861880 PECOS PAC ID: 5395196976 Enrollment ID: I20240108005388 |
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