MEDICARE: SERENITY IN HEART COUNSELING SERVICES PLLC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1477405678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY IN HEART COUNSELING SERVICES PLLC

Provider Business Mailing Address
First Line	:	5045 W BASELINE RD STE 105-238
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-7392
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5045 W BASELINE RD STE 105-238
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-7392
Country	:	US
Telephone Number	:	480-527-4138
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASMINE MATTHEWS
Credential	:	LPC
Telephone Number	:	480-527-4138

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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