Healthcare Provider Details

I. General information

NPI: 1881218436
Provider Name (Legal Business Name): SERENE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79895 BEAR LAKE RD
BUTTERNUT WI
54514-9129
US

IV. Provider business mailing address

148 S AVON AVE
PHILLIPS WI
54555-1308
US

V. Phone/Fax

Practice location:
  • Phone: 715-661-4474
  • Fax: 715-727-4927
Mailing address:
  • Phone: 715-661-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANNA J CHILDS
Title or Position: CLINIC ADMINISTRATOR/OWNER
Credential: LCSW, CSAC, CS-IT
Phone: 715-661-4474