Provider Demographics
NPI:1023385622
Name:SERENITY COUNSELING & COUNSULTING SERVICES PLLC
Entity Type:Organization
Organization Name:SERENITY COUNSELING & COUNSULTING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:828-320-5411
Mailing Address - Street 1:6920 MISSIONARY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6370
Mailing Address - Country:US
Mailing Address - Phone:828-320-5411
Mailing Address - Fax:919-900-7120
Practice Address - Street 1:6920 MISSIONARY RIDGE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6370
Practice Address - Country:US
Practice Address - Phone:828-320-5411
Practice Address - Fax:919-900-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-27
Last Update Date:2011-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7247101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3549905OtherCIGNA HEALTHCARE