Provider Demographics
NPI:1336720846
Name:SERENITY COUNSELING PLLC
Entity Type:Organization
Organization Name:SERENITY COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISETA
Authorized Official - Suffix:
Authorized Official - Credentials:BILLING SERVICE
Authorized Official - Phone:847-985-0881
Mailing Address - Street 1:1987 WILSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8004
Mailing Address - Country:US
Mailing Address - Phone:847-732-4510
Mailing Address - Fax:
Practice Address - Street 1:977 LAKEVIEW PKWY STE 102
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1444
Practice Address - Country:US
Practice Address - Phone:847-732-4510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty