MEDICARE: SEEK SERENITY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1336838853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEEK SERENITY LLC

Provider Business Mailing Address
First Line	:	9580 BARLETTA WINDS PT
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9706
Country	:	US
Telephone Number	:	973-405-3897
Fax Number	:

Provider Business Practice Location Address
First Line	:	9580 BARLETTA WINDS PT
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9706
Country	:	US
Telephone Number	:	973-405-3897
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEANNINA RUIZ
Credential	:	LPC, LMHC
Telephone Number	:	973-405-3897

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	05/01/2023

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