Healthcare Provider Details

I. General information

NPI: 1730726480
Provider Name (Legal Business Name): SERENITY NOW COUNSELING AND TREATMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8308 OHIO RIVER RD STE B
WHEELERSBURG OH
45694-1713
US

IV. Provider business mailing address

8308 OHIO RIVER RD STE B
WHEELERSBURG OH
45694-1713
US

V. Phone/Fax

Practice location:
  • Phone: 740-529-1210
  • Fax:
Mailing address:
  • Phone: 740-529-1201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: JO DONINI
Title or Position: BUSINESS OWNER
Credential:
Phone: 740-981-9379