Provider Demographics
NPI:1689477952
Name:SERENITY & RESTORATION MENTAL HEALTH COUNSELING
Entity type:Organization
Organization Name:SERENITY & RESTORATION MENTAL HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORTICELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-292-0497
Mailing Address - Street 1:100 N CENTRAL EXPY STE 532
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5394
Mailing Address - Country:US
Mailing Address - Phone:716-292-0497
Mailing Address - Fax:
Practice Address - Street 1:100 N CENTRAL EXPY STE 532
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5394
Practice Address - Country:US
Practice Address - Phone:716-292-0497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty