Provider Demographics
NPI:1235919325
Name:SERENITY HEALTH AND CONSULTATION LLC
Entity Type:Organization
Organization Name:SERENITY HEALTH AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWVOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:281-702-3353
Mailing Address - Street 1:300 CEDAR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-6387
Mailing Address - Country:US
Mailing Address - Phone:281-702-3353
Mailing Address - Fax:281-215-3949
Practice Address - Street 1:206 W FIRST ST STE D
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-3604
Practice Address - Country:US
Practice Address - Phone:281-702-3353
Practice Address - Fax:281-215-3949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty