Healthcare Provider Details

I. General information

NPI: 1831965490
Provider Name (Legal Business Name): SERENITY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023
Certification Date: 11/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S DUPONT BLVD STE F
MILFORD DE
19963-1704
US

IV. Provider business mailing address

35629 AIRPORT RD
REHOBOTH BEACH DE
19971-4619
US

V. Phone/Fax

Practice location:
  • Phone: 302-422-2888
  • Fax: 302-422-3888
Mailing address:
  • Phone: 302-503-0353
  • Fax: 302-412-3500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH MILLER
Title or Position: OWNER
Credential: LCSW
Phone: 302-604-9677