| Soulful Serenity, Mental Health Counseling Services, Pllc. | |
|
1520 Pennsylvania Ave Pine City NY 14871-9108 | |
| (607) 442-6121 | |
| Not Available |
| Full Name | Soulful Serenity, Mental Health Counseling Services, Pllc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1520 Pennsylvania Ave, Pine City, New York |
| Authorized Official Name and Position | Erinne Lynn Gibson (OWNER) |
| Authorized Official Contact | 6073313121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulful Serenity, Mental Health Counseling Services, Pllc. 1520 Pennsylvania Ave Pine City NY 14871-9108 Ph: () - | Soulful Serenity, Mental Health Counseling Services, Pllc. 1520 Pennsylvania Ave Pine City NY 14871-9108 Ph: (607) 442-6121 |
| NPI Number | 1821806274 |
|---|---|
| Provider Enumeration Date | 12/18/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821806274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Inner Lakes Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Clark Hollow Rd, Pine City, NY 14871 Phone: 607-398-0212 |