| Serenity Counseling Services | |
|
5232 Margaret Wallace Rd Matthews NC 28105-2110 | |
| (980) 222-4824 | |
| (980) 217-0024 |
| Full Name | Serenity Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5232 Margaret Wallace Rd, Matthews, North Carolina |
| Authorized Official Name and Position | Wanda Renee Mcwilliams (OWNER) |
| Authorized Official Contact | 9803187046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Counseling Services 1213 Alston Hill Dr Charlotte NC 28214-8978 Ph: (980) 222-4824 | Serenity Counseling Services 5232 Margaret Wallace Rd Matthews NC 28105-2110 Ph: (980) 222-4824 |
| NPI Number | 1952831158 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 4688944622 |
|---|---|
| Medicare Enrollment ID | O20170724002619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952831158 | NPI | - | NPPES |
| 17102610888 | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C008336 (North Carolina) | Primary |
| Provider Name | Wanda R Mcwilliams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710261888 PECOS PAC ID: 2466778105 Enrollment ID: I20150224000944 |
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