| Simple Serenity Counseling Lcsw, Pllc | |
|
125 Tejah Ave Syracuse NY 13210-4233 | |
| (315) 806-3008 | |
| (315) 802-7670 |
| Full Name | Simple Serenity Counseling Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 125 Tejah Ave, Syracuse, New York |
| Authorized Official Name and Position | Nicole Defurio (OWNER/THERAPIST) |
| Authorized Official Contact | 3156308293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Serenity Counseling Lcsw, Pllc 125 Tejah Ave Syracuse NY 13210-4233 Ph: (315) 806-3008 | Simple Serenity Counseling Lcsw, Pllc 125 Tejah Ave Syracuse NY 13210-4233 Ph: (315) 806-3008 |
| NPI Number | 1598412892 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598412892 | NPI | - | NPPES |
| 04125137 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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