Healthcare Provider Details

I. General information

NPI: 1639002074
Provider Name (Legal Business Name): SERENE SOLUTIONS CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 W 111TH ST STE 110
CHICAGO IL
60655-4037
US

IV. Provider business mailing address

3838 W 111TH ST STE 110
CHICAGO IL
60655-4037
US

V. Phone/Fax

Practice location:
  • Phone: 312-883-0687
  • Fax: 312-380-0199
Mailing address:
  • Phone: 312-883-0687
  • Fax: 312-380-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: XOCHITL GONZALEZ
Title or Position: OWNER
Credential: LCSW
Phone: 224-421-2517