| Serenity Mental Health, Llc | |
|
1815 Vt Rte 15 Wolcott VT 05680-3008 | |
| (802) 696-9830 | |
| (802) 888-2369 |
| Full Name | Serenity Mental Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1815 Vt Rte 15, Wolcott, Vermont |
| Authorized Official Name and Position | Danielle Leriche-forkey (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8026969830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Mental Health, Llc Po Box 1002 Wolcott VT 05680-1002 Ph: (802) 696-9830 | Serenity Mental Health, Llc 1815 Vt Rte 15 Wolcott VT 05680-3008 Ph: (802) 696-9830 |
| NPI Number | 1578177051 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Medicare PECOS PAC ID | 9133531965 |
|---|---|
| Medicare Enrollment ID | O20201218001093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578177051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danielle Marie Leriche-forkey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629699848 PECOS PAC ID: 1951713783 Enrollment ID: I20201218001190 |
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