Provider Demographics
NPI:1871007575
Name:SERENITY WRITING WORKS LLC
Entity Type:Organization
Organization Name:SERENITY WRITING WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:SCHNEIDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:302-740-1364
Mailing Address - Street 1:9 E SALISBURY DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-3413
Mailing Address - Country:US
Mailing Address - Phone:302-740-1364
Mailing Address - Fax:302-304-3984
Practice Address - Street 1:501 SILVERSIDE RD STE 73
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-1394
Practice Address - Country:US
Practice Address - Phone:302-740-1364
Practice Address - Fax:302-304-3984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-17
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225700000X
DEPC0000606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty