Healthcare Provider Details

I. General information

NPI: 1053988493
Provider Name (Legal Business Name): SERENITY COUNSELING AND PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 E CLARK AVE STE F
SANTA MARIA CA
93455-5169
US

IV. Provider business mailing address

1145 E CLARK AVE STE F
SANTA MARIA CA
93455-5169
US

V. Phone/Fax

Practice location:
  • Phone: 805-448-7469
  • Fax: 805-354-0806
Mailing address:
  • Phone: 805-448-7469
  • Fax: 805-354-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURA BELTRAN-MEDINA
Title or Position: PSYCHOLOGIST
Credential: PSY
Phone: 805-448-7469