Serenity Wellness Counseling, Llc | |
18718 Northridge Dr Hagerstown MD 21742-2452 | |
(240) 291-8027 | |
(240) 402-6520 |
Full Name | Serenity Wellness Counseling, Llc |
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Speciality | Counselor |
Location | 18718 Northridge Dr, Hagerstown, Maryland |
Authorized Official Name and Position | Tricia Doherty (OWNER) |
Authorized Official Contact | 2402918027 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Serenity Wellness Counseling, Llc 18718 Northridge Dr Hagerstown MD 21742-2452 Ph: (240) 291-8027 | Serenity Wellness Counseling, Llc 18718 Northridge Dr Hagerstown MD 21742-2452 Ph: (240) 291-8027 |
NPI Number | 1558800649 |
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Provider Enumeration Date | 02/22/2017 |
Last Update Date | 02/22/2017 |
Medicare PECOS PAC ID | 0547704702 |
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Medicare Enrollment ID | O20240628000285 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558800649 | NPI | - | NPPES |
0500925-00 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCPC4218 (Maryland) | Primary |
Provider Name | Tricia Jane Doherty |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1861762999 PECOS PAC ID: 9537603709 Enrollment ID: I20240628000389 |
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