Healthcare Provider Details

I. General information

NPI: 1336095199
Provider Name (Legal Business Name): SERENITY AND WELLNESS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 WESTPORT AVE
NORWALK CT
06851-3915
US

IV. Provider business mailing address

33 MARLBOROUGH RD
NORWALK CT
06851-2612
US

V. Phone/Fax

Practice location:
  • Phone: 203-550-7726
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA USHEROV
Title or Position: CLINICAN/OWNER
Credential: LCSW
Phone: 203-550-7726