Provider Demographics
NPI:1952141905
Name:RORIE, SERENITY
Entity type:Individual
Prefix:
First Name:SERENITY
Middle Name:
Last Name:RORIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 BELONDA ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1808
Mailing Address - Country:US
Mailing Address - Phone:662-415-8412
Mailing Address - Fax:
Practice Address - Street 1:9600 BABCOCK BLVD
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2005
Practice Address - Country:US
Practice Address - Phone:412-847-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health