| Serenity Recovery Services Llc | |
|
1122 North Leroy Suite A Fenton MI 48430-1415 | |
| (810) 240-0143 | |
| Not Available |
| Full Name | Serenity Recovery Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1122 North Leroy Suite A, Fenton, Michigan |
| Authorized Official Name and Position | Peter J Healey (LMSW) |
| Authorized Official Contact | 8102400143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Recovery Services Llc 602 Mary Court Fenton MI 48430-1415 Ph: (810) 240-0143 | Serenity Recovery Services Llc 1122 North Leroy Suite A Fenton MI 48430-1415 Ph: (810) 240-0143 |
| NPI Number | 1952656985 |
|---|---|
| Provider Enumeration Date | 07/16/2012 |
| Last Update Date | 07/16/2012 |
| Medicare PECOS PAC ID | 6406008804 |
|---|---|
| Medicare Enrollment ID | O20121211000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952656985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801080309 (Michigan) | Primary |
| Provider Name | Peter J Healey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356407886 PECOS PAC ID: 9931259181 Enrollment ID: I20090609000368 |
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