Provider Demographics
NPI:1255121562
Name:SERENITY COUNSELING AND WELLNESS
Entity type:Organization
Organization Name:SERENITY COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CADC III
Authorized Official - Phone:503-496-6839
Mailing Address - Street 1:1712 NE SANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2851
Mailing Address - Country:US
Mailing Address - Phone:503-496-6839
Mailing Address - Fax:503-961-7911
Practice Address - Street 1:1712 NE SANDY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2851
Practice Address - Country:US
Practice Address - Phone:503-496-6839
Practice Address - Fax:503-961-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty