| Serenity Place Therapy Llc | |
|
3445 Winton Place Ste. 114 Rochester NY 14623 | |
| (276) 224-2043 | |
| Not Available |
| Full Name | Serenity Place Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3445 Winton Place, Rochester, New York |
| Authorized Official Name and Position | Patricia A Houchin (MANAGER/MEMBER) |
| Authorized Official Contact | 2762242043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Place Therapy Llc 265 S Federal Hwy # 285 Deerfield Beach FL 33441-4161 Ph: (276) 224-2043 | Serenity Place Therapy Llc 3445 Winton Place Ste. 114 Rochester NY 14623 Ph: (276) 224-2043 |
| NPI Number | 1952080954 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 1850744038 |
|---|---|
| Medicare Enrollment ID | O20240124003831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952080954 | NPI | - | NPPES |
| Provider Name | Patricia Ann Houchin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851908149 PECOS PAC ID: 2769835941 Enrollment ID: I20240124004349 |
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