| Serenity Place Family Therapy Llc | |
|
2219 Sawdust Rd Ste 1101 The Woodlands TX 77380-2580 | |
| (832) 264-1928 | |
| Not Available |
| Full Name | Serenity Place Family Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2219 Sawdust Rd Ste 1101, The Woodlands, Texas |
| Authorized Official Name and Position | David Dale (ADMINISTRATOR) |
| Authorized Official Contact | 2814199669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Place Family Therapy Llc 2219 Sawdust Rd Ste 1101 The Woodlands TX 77380-2580 Ph: (832) 264-1928 | Serenity Place Family Therapy Llc 2219 Sawdust Rd Ste 1101 The Woodlands TX 77380-2580 Ph: (832) 264-1928 |
| NPI Number | 1528523743 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 08/02/2022 |
| Certification Date | 03/25/2021 |
| Medicare PECOS PAC ID | 1456722099 |
|---|---|
| Medicare Enrollment ID | O20230119000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528523743 | NPI | - | NPPES |
| 0040FV | Other | TX | BCBSTX |
| 799586 | Other | PTAN | |
| 397962701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jaime Guajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104112457 PECOS PAC ID: 9133400294 Enrollment ID: I20190410001302 |
Life Center Healing And Cultural Place Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 26515 Oak Ridge Dr, The Woodlands, TX 77380 Phone: 281-367-0328 Fax: 281-419-9753 | |
The Woodlands Center For Families, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2203 Timberloch Pl Ste 100, The Woodlands, TX 77380 Phone: 713-553-0203 | |
Creating Hope Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2002 Timberloch Pl, Suite 200, The Woodlands, TX 77380 Phone: 936-273-4336 | |
Commons Iom Pro, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3115 College Park Dr Ste 101b, The Woodlands, TX 77384 Phone: 832-871-4609 | |
Man 2 Man Counseling Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25511 Budde Rd Ste 1902, The Woodlands, TX 77380 Phone: 346-208-2942 | |
Vital Growth Counseling & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Timberloch Pl Ste 500, The Woodlands, TX 77380 Phone: 281-949-0759 | |
Laurie Ables, Ma, Lpc, Ncc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25325 Borough Park Dr, Suite 220, The Woodlands, TX 77380 Phone: 281-750-6078 Fax: 281-252-3507 |