| Serenity Psychological Services Inc | |
|
560 Sw Mcfarlane Ave Lake City FL 32025 | |
| (352) 234-4010 | |
| Not Available |
| Full Name | Serenity Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 560 Sw Mcfarlane Ave, Lake City, Florida |
| Authorized Official Name and Position | April C Roberts (PSYCHOLOGIST) |
| Authorized Official Contact | 3522344010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Psychological Services Inc Po Box 357757 Gainesville FL 32635-7757 Ph: (352) 234-4010 | Serenity Psychological Services Inc 560 Sw Mcfarlane Ave Lake City FL 32025 Ph: (352) 234-4010 |
| NPI Number | 1902059801 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 2769539493 |
|---|---|
| Medicare Enrollment ID | O20090414000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902059801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 6932 (Florida) | Primary |
| Provider Name | April C Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962595843 PECOS PAC ID: 6305813460 Enrollment ID: I20040916000877 |
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