Provider Demographics
NPI:1679229850
Name:SERENE INSIGHTS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SERENE INSIGHTS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRIMARY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPITZER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:330-461-4742
Mailing Address - Street 1:1392 HIGH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-8257
Mailing Address - Country:US
Mailing Address - Phone:216-258-7577
Mailing Address - Fax:330-947-5750
Practice Address - Street 1:1392 HIGH ST STE 107
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-8257
Practice Address - Country:US
Practice Address - Phone:216-258-7577
Practice Address - Fax:330-947-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1508145376Medicaid