Provider Demographics
NPI:1477137594
Name:SERENITY NOW THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:SERENITY NOW THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:SERENITY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:DRUM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:830-554-0098
Mailing Address - Street 1:820 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BLANCO
Mailing Address - State:TX
Mailing Address - Zip Code:78606-4914
Mailing Address - Country:US
Mailing Address - Phone:830-554-0098
Mailing Address - Fax:
Practice Address - Street 1:820 6TH ST
Practice Address - Street 2:
Practice Address - City:BLANCO
Practice Address - State:TX
Practice Address - Zip Code:78606-4914
Practice Address - Country:US
Practice Address - Phone:830-554-0098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty