| Serenity In Motion | |
|
501 E Front St Ste 513 Butte MT 59701-5209 | |
| (406) 565-5154 | |
| (406) 565-5040 |
| Full Name | Serenity In Motion |
|---|---|
| Speciality | Counselor |
| Location | 501 E Front St Ste 513, Butte, Montana |
| Authorized Official Name and Position | Tristen Christopher Valentino (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4065655154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity In Motion 501 E Front St Ste 513 Butte MT 59701-5209 Ph: (406) 565-5154 | Serenity In Motion 501 E Front St Ste 513 Butte MT 59701-5209 Ph: (406) 565-5154 |
| NPI Number | 1952963654 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/08/2020 |
| Certification Date | 07/08/2020 |
| Medicare PECOS PAC ID | 4385076314 |
|---|---|
| Medicare Enrollment ID | O20191113002239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952963654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Candace Carle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285280115 PECOS PAC ID: 9436588019 Enrollment ID: I20200402000756 |
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