Provider Demographics
NPI:1689101636
Name:SERENITY COUNSELING SERVICES OF VIRGINIA, LLC
Entity Type:Organization
Organization Name:SERENITY COUNSELING SERVICES OF VIRGINIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ CFO
Authorized Official - Prefix:
Authorized Official - First Name:NADYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-299-0297
Mailing Address - Street 1:1218 DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-3935
Mailing Address - Country:US
Mailing Address - Phone:804-569-2100
Mailing Address - Fax:800-506-3798
Practice Address - Street 1:1218 DECATUR ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-3935
Practice Address - Country:US
Practice Address - Phone:804-569-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-20
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2179251S00000X
323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No251S00000XAgenciesCommunity/Behavioral Health