| Serenity House Counseling, Pllc | |
|
3748 Us Highway 59 N Livingston TX 77351-8981 | |
| (936) 433-7871 | |
| (936) 286-3106 |
| Full Name | Serenity House Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3748 Us Highway 59 N, Livingston, Texas |
| Authorized Official Name and Position | Shawna Marie Munson (DIRECTOR) |
| Authorized Official Contact | 9362592119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity House Counseling, Pllc 3748 Us Highway 59 N Ste A Livingston TX 77351-8981 Ph: (936) 259-2119 | Serenity House Counseling, Pllc 3748 Us Highway 59 N Livingston TX 77351-8981 Ph: (936) 433-7871 |
| NPI Number | 1568065142 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 11/19/2023 |
| Certification Date | 11/19/2023 |
| Medicare PECOS PAC ID | 3173973377 |
|---|---|
| Medicare Enrollment ID | O20240102000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568065142 | NPI | - | NPPES |
| 424038401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Shawna Marie Munson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649804154 PECOS PAC ID: 4082064282 Enrollment ID: I20240102000031 |
| Provider Name | Gabriela Rivas Espinoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982326930 PECOS PAC ID: 0345690541 Enrollment ID: I20240102000045 |
| Provider Name | Lisa Wittpenn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033826342 PECOS PAC ID: 8527418730 Enrollment ID: I20240102000063 |
| Provider Name | Michelle Rhodes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871286682 PECOS PAC ID: 4981054194 Enrollment ID: I20240102000080 |
| Provider Name | Desi Rae Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356006191 PECOS PAC ID: 7517317720 Enrollment ID: I20240102000093 |
| Provider Name | Lewis Leroy Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851049712 PECOS PAC ID: 1052761269 Enrollment ID: I20240102000125 |
| Provider Name | Mariana Adame |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558069286 PECOS PAC ID: 9537519699 Enrollment ID: I20240102002210 |
| Provider Name | Christina Marie Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528723632 PECOS PAC ID: 0840633194 Enrollment ID: I20240204000040 |
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