Provider Demographics
NPI:1457240574
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:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PRAJEREZ
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
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:361-350-8044
Practice Address - Street 1:204 W HEFFERMAN STREET
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102
Practice Address - Country:US
Practice Address - Phone:361-350-8088
Practice Address - Fax:361-350-8044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty