Organization

Serenity Counseling Services Pa

Substance Use Disorder Rehabilitation Clinic/Center in Stuart, FL(View on Map)

Legal Business Name

Serenity Counseling Services Pa

NPI Number

1275689812

NPI Type

Organization

Enumeration Date

01/26/2007

Specialties

(Taxonomies)

Code

261QR0405X
103T00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

1943AD620400
PY5591

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2474
500 NW DIXIE HWY

City

Stuart
Stuart

State

FL
FL

Postal Code

34995
34994

Country

US
US

Telephone Number

(772) 692-8585
(772) 692-8585

Authorized Official

Name

Gilda Broadwell

Title or Position

PSYCHOLOGIST

Telephone Number

(772) 692-8585

Identifiers

Identifier

15-43-AD-6204-00

Identifier State

FL

Identifier Issuer

C&F SUB ABUSE COUNSELING

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/23/2012

Provider Address

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Organization

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Organization

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Organization

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Organization

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