Provider Demographics
NPI:1518477587
Name:SERENITY COUNSELING LCSW, LLC
Entity Type:Organization
Organization Name:SERENITY COUNSELING LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:PIA
Authorized Official - Last Name:BERTOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:704-458-3025
Mailing Address - Street 1:PO BOX 110201
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-0003
Mailing Address - Country:US
Mailing Address - Phone:704-458-3025
Mailing Address - Fax:
Practice Address - Street 1:677 N WASHINGTON BLVD STE 44
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4241
Practice Address - Country:US
Practice Address - Phone:704-458-3025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty