Provider Demographics
NPI:1275200172
Name:SERENA HOKE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:SERENA HOKE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:541-816-1128
Mailing Address - Street 1:916 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-3018
Mailing Address - Country:US
Mailing Address - Phone:541-816-1128
Mailing Address - Fax:541-292-5890
Practice Address - Street 1:916 W 10TH ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-3018
Practice Address - Country:US
Practice Address - Phone:541-816-1128
Practice Address - Fax:541-292-5890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health