Provider Demographics
NPI:1689342255
Name:SERENE SKIES COUNSELING, LLC
Entity Type:Organization
Organization Name:SERENE SKIES COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEJLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEZER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:774-813-7592
Mailing Address - Street 1:23 BRIDLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-2211
Mailing Address - Country:US
Mailing Address - Phone:774-813-7592
Mailing Address - Fax:
Practice Address - Street 1:300 W MAIN ST STE 209
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2132
Practice Address - Country:US
Practice Address - Phone:774-813-7592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)