Provider Demographics
NPI:1235769787
Name:SERENITY COUNSELING AND LIFE COACHING SERVICES PLLC
Entity Type:Organization
Organization Name:SERENITY COUNSELING AND LIFE COACHING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROF. COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, RPT
Authorized Official - Phone:361-350-8088
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78104-0161
Mailing Address - Country:US
Mailing Address - Phone:361-350-8088
Mailing Address - Fax:
Practice Address - Street 1:1004 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-3929
Practice Address - Country:US
Practice Address - Phone:361-350-8088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty