Provider Demographics
NPI:1851085609
Name:SERENE THERAPY AND WELLNESS LLC
Entity Type:Organization
Organization Name:SERENE THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY ANGELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:267-969-4754
Mailing Address - Street 1:105 HERITAGE PL
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2559
Mailing Address - Country:US
Mailing Address - Phone:267-969-4754
Mailing Address - Fax:
Practice Address - Street 1:105 HERITAGE PL
Practice Address - Street 2:
Practice Address - City:HOLLAD
Practice Address - State:PA
Practice Address - Zip Code:18966-2559
Practice Address - Country:US
Practice Address - Phone:267-969-4754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty