Healthcare Provider Details
I. General information
NPI: 1831646157
Provider Name (Legal Business Name): SERENITY AND HOPE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2016
Last Update Date: 07/03/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1990 E LOHMAN AVE SUITE 201
LAS CRUCES NM
88001-3172
US
IV. Provider business mailing address
1990 E LOHMAN AVE STE 112
LAS CRUCES NM
88001-3172
US
V. Phone/Fax
- Phone: 575-640-2852
- Fax:
- Phone: 575-524-6800
- Fax: 575-524-4813
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
D
MAURER
Title or Position: OWNER
Credential:
Phone: 575-640-2852