| Serenity Therapy Llc | |
|
3790 Old Us Highway 41 N Ste A Valdosta GA 31602-6865 | |
| (229) 262-1000 | |
| Not Available |
| Full Name | Serenity Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3790 Old Us Highway 41 N Ste A, Valdosta, Georgia |
| Authorized Official Name and Position | Karla Peterson (OWNER) |
| Authorized Official Contact | 2293105065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Therapy Llc 3569 Sumner Rd Moultrie GA 31768-0117 Ph: (229) 366-0460 | Serenity Therapy Llc 3790 Old Us Highway 41 N Ste A Valdosta GA 31602-6865 Ph: (229) 262-1000 |
| NPI Number | 1780432575 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 1850830506 |
|---|---|
| Medicare Enrollment ID | O20240827001205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780432575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Karla M Peterson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063010528 PECOS PAC ID: 2769921410 Enrollment ID: I20240827001275 |
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