Provider Demographics
NPI:1750746079
Name:SERPAS, CAITLYN H (LPC, NCC)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:H
Last Name:SERPAS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310B WALTHOUR RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-3204
Mailing Address - Country:US
Mailing Address - Phone:706-331-5132
Mailing Address - Fax:
Practice Address - Street 1:1310B WALTHOUR RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-3204
Practice Address - Country:US
Practice Address - Phone:706-331-5132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC004057101YM0800X
GA010038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health