Serenity Solutions, Llc | |
140 Fox Rd Suite 303 Van Wert OH 45891-2475 | |
(419) 232-6010 | |
(419) 232-6012 |
Full Name | Serenity Solutions, Llc |
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Speciality | Psychologist |
Location | 140 Fox Rd, Van Wert, Ohio |
Authorized Official Name and Position | Kathy Marie Carr (CEO) |
Authorized Official Contact | 4192326010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serenity Solutions, Llc 140 Fox Rd Suite 303 Van Wert OH 45891-2475 Ph: (419) 232-6010 | Serenity Solutions, Llc 140 Fox Rd Suite 303 Van Wert OH 45891-2475 Ph: (419) 232-6010 |
NPI Number | 1487097317 |
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Provider Enumeration Date | 04/10/2013 |
Last Update Date | 04/10/2013 |
Medicare PECOS PAC ID | 4284871294 |
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Medicare Enrollment ID | O20130511000087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487097317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6909 (Ohio) | Primary |
Provider Name | Kathy M Carr |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114287240 PECOS PAC ID: 5496904641 Enrollment ID: I20121003000103 |
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