| Simple Serenity Therapy Center | |
|
125 Tejah Ave Syracuse NY 13210 | |
| (315) 313-4733 | |
| Not Available |
| Full Name | Simple Serenity Therapy Center |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 125 Tejah Ave, Syracuse, New York |
| Authorized Official Name and Position | Nicole Defurio (OWNER/THERAPIST) |
| Authorized Official Contact | 3158063008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Serenity Therapy Center 125 Tejah Ave Syracuse NY 13210 Ph: (315) 806-3008 | Simple Serenity Therapy Center 125 Tejah Ave Syracuse NY 13210 Ph: (315) 313-4733 |
| NPI Number | 1528631504 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/19/2021 |
| Certification Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528631504 | NPI | - | NPPES |
| 04125137 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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