MEDICARE: SERENITY STEPS COUNSELING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1326855586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY STEPS COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	1204 DANCE ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-6115
Country	:	US
Telephone Number	:	804-503-6067
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 DANCE ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-6115
Country	:	US
Telephone Number	:	804-503-6067
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TENE BURRELL
Credential	:
Telephone Number	:	804-503-6067

Provider Enumeration Date	:	12/11/2024
Last Update Date	:	12/11/2024

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