Healthcare Provider Details

I. General information

NPI: 1932017134
Provider Name (Legal Business Name): SERENITY CHRISTIAN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 GATEWAY AVE
BISMARCK ND
58503-0508
US

IV. Provider business mailing address

1542 MORNING VIEW CT
BISMARCK ND
58501-3000
US

V. Phone/Fax

Practice location:
  • Phone: 701-527-8175
  • Fax:
Mailing address:
  • Phone: 701-400-0373
  • 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: DIANA GEFROH
Title or Position: OWNER
Credential: LPCC
Phone: 701-400-0373