Provider Demographics
NPI:1851932529
Name:SERENITY COUNSELING OF THE CAROLINAS PLLC
Entity Type:Organization
Organization Name:SERENITY COUNSELING OF THE CAROLINAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCASA
Authorized Official - Phone:980-938-4840
Mailing Address - Street 1:5104 REAGAN DR STE 13
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-1393
Mailing Address - Country:US
Mailing Address - Phone:980-938-4840
Mailing Address - Fax:980-938-4984
Practice Address - Street 1:5104 REAGAN DR STE 13
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-1393
Practice Address - Country:US
Practice Address - Phone:980-938-4840
Practice Address - Fax:980-938-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty