Healthcare Provider Details

I. General information

NPI: 1962962332
Provider Name (Legal Business Name): S.E.R.E.N.E. COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13803 ROSALIE DR
GARFIELD HTS OH
44125-1933
US

IV. Provider business mailing address

13803 ROSALIE DR
GARFIELD HTS OH
44125-1933
US

V. Phone/Fax

Practice location:
  • Phone: 216-452-7805
  • Fax:
Mailing address:
  • Phone: 216-452-7805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: LECHANNE LEDGER
Title or Position: PRESDIENT/OWNER
Credential: LICDC
Phone: 216-254-7976