Provider Demographics
NPI:1376830877
Name:SERENITY COUNSELING AND SOCIAL SERVICES
Entity Type:Organization
Organization Name:SERENITY COUNSELING AND SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRUZ
Authorized Official - Middle Name:E
Authorized Official - Last Name:GALAVIZ COBOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:9564-572-8888
Mailing Address - Street 1:4802 CARDINAL LN
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-6797
Mailing Address - Country:US
Mailing Address - Phone:956-457-2888
Mailing Address - Fax:956-782-0384
Practice Address - Street 1:4802 CARDINAL LN
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-6797
Practice Address - Country:US
Practice Address - Phone:956-457-2888
Practice Address - Fax:956-782-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX396271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty