Provider Demographics
NPI:1013770080
Name:SERENIDAD COUNSELING LLC
Entity Type:Organization
Organization Name:SERENIDAD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:574-205-9560
Mailing Address - Street 1:50832 ACORN TRL
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-7730
Mailing Address - Country:US
Mailing Address - Phone:574-222-6514
Mailing Address - Fax:
Practice Address - Street 1:234 WATERFALL DR STE D
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-3682
Practice Address - Country:US
Practice Address - Phone:574-205-9560
Practice Address - Fax:574-544-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health