Provider Demographics
NPI:1073273454
Name:SERENITY NOW COUNSELING LLC
Entity Type:Organization
Organization Name:SERENITY NOW COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DISARRO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-471-8577
Mailing Address - Street 1:42 GLOUCESTER AVE
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-2230
Mailing Address - Country:US
Mailing Address - Phone:978-471-8577
Mailing Address - Fax:
Practice Address - Street 1:42 GLOUCESTER AVE
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-2230
Practice Address - Country:US
Practice Address - Phone:978-471-8577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty