Provider Demographics
NPI:1558908418
Name:SERENITY THERAPY, LLC
Entity Type:Organization
Organization Name:SERENITY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:M
Authorized Official - Last Name:TEUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-557-6869
Mailing Address - Street 1:210 JONES ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-7615
Mailing Address - Country:US
Mailing Address - Phone:563-557-6869
Mailing Address - Fax:563-334-7989
Practice Address - Street 1:210 JONES ST STE 200
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-7615
Practice Address - Country:US
Practice Address - Phone:563-557-6869
Practice Address - Fax:563-334-7989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-10
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA001605OtherIOWA MENTAL HEALTH COUNSELOR LICENSE