Healthcare Provider Details

I. General information

NPI: 1972219426
Provider Name (Legal Business Name): THERAPY WITH SERENITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48623 LAKE AVE
MCGREGOR MN
55760-4526
US

IV. Provider business mailing address

1041 GRAND AVE STE 135
SAINT PAUL MN
55105-3002
US

V. Phone/Fax

Practice location:
  • Phone: 651-419-6960
  • Fax: 651-560-3898
Mailing address:
  • Phone: 651-419-6967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SERENITY SILVERS
Title or Position: PRESIDENT
Credential: MPS, LPCC, LADC
Phone: 651-419-6967