| Serenity Family Therapy | |
|
707 W 7th Ave Ste 160b Spokane WA 99204-2832 | |
| (509) 992-8276 | |
| (509) 443-5882 |
| Full Name | Serenity Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 707 W 7th Ave Ste 160b, Spokane, Washington |
| Authorized Official Name and Position | Somer Lynn Radvanyi (THERAPIST) |
| Authorized Official Contact | 5099928276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Family Therapy 707 W 7th Ave Ste 160b Spokane WA 99204-2832 Ph: (509) 992-8276 | Serenity Family Therapy 707 W 7th Ave Ste 160b Spokane WA 99204-2832 Ph: (509) 992-8276 |
| NPI Number | 1295380681 |
|---|---|
| Provider Enumeration Date | 08/03/2019 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 9537500376 |
|---|---|
| Medicare Enrollment ID | O20240510003322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295380681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Somer L Radvanyi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861691842 PECOS PAC ID: 0446691281 Enrollment ID: I20240510003350 |
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