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NPI Code Detail

MEDICARE: SERENITY NOW COUNSELING AND TREATMENT LLC

MEDICARE: SERENITY NOW COUNSELING AND TREATMENT 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
1207QA0401XAddiction Medicine (Family Medicine) Physician
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1730726480
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY NOW COUNSELING AND TREATMENT LLC
Provider Business Mailing Address
First Line : 8308 OHIO RIVER RD STE B
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-1713
Country : US
Telephone Number : 740-529-1201
Fax Number :
Provider Business Practice Location Address
First Line : 8308 OHIO RIVER RD STE B
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-1713
Country : US
Telephone Number : 740-529-1210
Fax Number :
Authorized Official
Title or Position : BUSINESS OWNER
Name : JO DONINI
Credential :
Telephone Number : 740-981-9379
Provider Enumeration Date : 12/02/2019
Last Update Date : 01/04/2022

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Directions to “SERENITY NOW COUNSELING AND TREATMENT LLC ” Practice Location

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