Serenity Within | |
1038 Black Gum Ln Clarksville TN 37043-1440 | |
(615) 979-0789 | |
Not Available |
Full Name | Serenity Within |
---|---|
Speciality | Social Worker - Clinical |
Location | 1038 Black Gum Ln, Clarksville, Tennessee |
Authorized Official Name and Position | Amanda Aguirre (CEO) |
Authorized Official Contact | 6159790789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serenity Within 1038 Black Gum Ln Clarksville TN 37043-1440 Ph: (615) 979-0789 | Serenity Within 1038 Black Gum Ln Clarksville TN 37043-1440 Ph: (615) 979-0789 |
NPI Number | 1962162594 |
---|---|
Provider Enumeration Date | 12/22/2021 |
Last Update Date | 12/22/2021 |
Certification Date | 12/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962162594 | NPI | - | NPPES |
254212 | Other | KY | SOCIAL WORK |
6699 | Other | TN | SOCIAL WORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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