Provider Demographics
NPI:1891373122
Name:SERENITY COUNSELING LLC
Entity Type:Organization
Organization Name:SERENITY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARAINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW, IADC
Authorized Official - Phone:515-954-7811
Mailing Address - Street 1:PO BOX 8156
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50301-8156
Mailing Address - Country:US
Mailing Address - Phone:641-233-8879
Mailing Address - Fax:515-462-0504
Practice Address - Street 1:3829 71ST ST STE B1
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3263
Practice Address - Country:US
Practice Address - Phone:515-954-7811
Practice Address - Fax:515-706-3402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA12398268Medicaid
IA17002OtherIOWA BOARD OF CERTIFICATION
IA083321OtherIOWA SOCIAL WORK BOARD/ BEHAVIORAL HEALTH