Provider Demographics
NPI:1841991619
Name:SERENITY BY THE SEA COUNSELING LLC
Entity type:Organization
Organization Name:SERENITY BY THE SEA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAGGIANO
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, LPC, SAC
Authorized Official - Phone:732-773-9078
Mailing Address - Street 1:160 CHAMBERS BRIDGE RD UNIT 699
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-2034
Mailing Address - Country:US
Mailing Address - Phone:732-451-4542
Mailing Address - Fax:
Practice Address - Street 1:214 ELMWOOD DR
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-3312
Practice Address - Country:US
Practice Address - Phone:732-451-4542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty