SERENITY THERAPEUTIC COUNSELING SERVICES


Address: 1612 Mcguckian Ave Suite 3, Annapolis, MD 21401-4024
Phone: 4433339340

SERENITY THERAPEUTIC COUNSELING SERVICES (NPI# 1881969459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881969459
Entity Type Organization
Organization Name SERENITY THERAPEUTIC COUNSELING SERVICES
Practice Address 1612 Mcguckian Ave Suite 3
Annapolis
MD 21401-4024
Mailing Address 1901 Mcguckian Ave 110
Annapolis
MD 21401
Practice Telephone 4433339340
Mailing Telephone 4433339340
Enumeration Date 2012-03-15
Last Update Date 2012-03-28
Authorized Official Name KENDRA LORRAINE JACKSON (CLINICAL DIRECTOR/THERAPIST)
Authorized Official Telephone 4433339340
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LC4153 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 0459291-00 05

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Serenity Therapeutic Counseling Services LLC 236 Mustang Trl Ste 103, Virginia Beach, Virginia 23452-7517

Office Location

Street Address 1612 MCGUCKIAN AVE SUITE 3
City ANNAPOLIS
State MD
Zip Code 21401-4024

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1548803521 Victoria Reimnitz Behavioral Analyst 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 2019-10-23
1700438140 Emily Megan Burke Nurse Practitioner 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 2019-07-16
1316504848 Sherina Maryam Shamsa Counselor 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 2019-05-21
1497225288 Jerilyn Deitch Speech-Language Pathologist Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 2018-12-05
1487124038 Lucinda W Mimms Speech-Language Pathologist 2644 Riva Rd., Annapolis, MD 21401 2018-11-27
1487145496 Michelle Baudean Behavior Technician 1919 West St Ste 201, Annapolis, MD 21401 2018-05-24
1730678954 Stephanie Ruth Streb Registered Nurse 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 2018-05-02
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508417759 Timothy Lee Mewmaw Counselor 700 Melvin Ave Ste 5, Annapolis, MD 21401-1506 2019-09-27
1063903722 Gail Bowles Counselor 133 Defense Hwy Ste 210, Annapolis, MD 21401-8907 2018-05-29
1295246718 Safe Harbor Behavioral Care Chesapeake LLC Counselor 108 Old Solomons Island Rd Unit 5, Annapolis, MD 21401-3845 2017-10-24
1063891109 Laura Wanderling Counselor 1843 Lindamoor Dr, Annapolis, MD 21401-1039 2015-05-21
1609264506 Rickie Phillips Counselor 201 Medical Parkway, Annapolis, MD 21401 2014-12-30
1689921371 Jane Spell Counselor 884 Chesterfield Rd, Annapolis, MD 21401-7049 2012-08-13
1437461308 Gwen Marie Condon Counselor 8 Leeward Ct, Annapolis, MD 21403-3489 2010-07-08
1942523816 Rebecca J Bickel Counselor 1056 Pinecrest Dr, Annapolis, MD 21403-4253 2010-03-08
1942534409 James A Stafford Counselor 102 Old Solomons Island Rd, Suite 202, Annapolis, MD 21401-3816 2009-09-30
1356575930 Pamela Sue Lowe Counselor 1200 West St, Annapolis, MD 21401-3610 2009-05-11
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Competitor

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City ANNAPOLIS
Zip Code 21401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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