Healthcare Provider Details

I. General information

NPI: 1679408504
Provider Name (Legal Business Name): SERENE CLARITY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 MAPLE LAWN BLVD STE 350
FULTON MD
20759-2683
US

IV. Provider business mailing address

6503 DARWIN RD
LAUREL MD
20707-2973
US

V. Phone/Fax

Practice location:
  • Phone: 240-720-2550
  • Fax:
Mailing address:
  • Phone: 240-565-9195
  • Fax:

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: ANDREA QUISMORIO
Title or Position: OWNER, PSYCHOTHERAPIST
Credential: LCSW-C
Phone: 240-565-9195