Provider Demographics
NPI:1689399073
Name:SERENEDREAMS COUNSELING AND HYPNOSIS
Entity Type:Organization
Organization Name:SERENEDREAMS COUNSELING AND HYPNOSIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPCC, CHP
Authorized Official - Phone:320-237-5446
Mailing Address - Street 1:33845 100TH AVE
Mailing Address - Street 2:
Mailing Address - City:ONAMIA
Mailing Address - State:MN
Mailing Address - Zip Code:56359-2186
Mailing Address - Country:US
Mailing Address - Phone:320-237-5446
Mailing Address - Fax:
Practice Address - Street 1:33845 100TH AVE
Practice Address - Street 2:
Practice Address - City:ONAMIA
Practice Address - State:MN
Practice Address - Zip Code:56359-2186
Practice Address - Country:US
Practice Address - Phone:320-237-5446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty