Provider Demographics
NPI:1952921355
Name:THERAPY SERENDIPITY LLC
Entity Type:Organization
Organization Name:THERAPY SERENDIPITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HUNTRODS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:641-751-5655
Mailing Address - Street 1:101 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-5315
Mailing Address - Country:US
Mailing Address - Phone:641-751-5655
Mailing Address - Fax:
Practice Address - Street 1:101 N 19TH ST
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-5315
Practice Address - Country:US
Practice Address - Phone:641-751-5655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-26
Last Update Date:2020-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty