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General NPI Number Information
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NPI Number | 1063875789
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Entity Type | Organization
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Legal Business Name | SERENITY COUNSELING & WELLNESS, INC
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 209 PARK PLACE CV SUITE E
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City | PEARL
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State | MS
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Zip | 39208-8948
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Country | US
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Telephone | 601-420-2210
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Fax | 601-420-2210
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Provider Business Mailing Address
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Address Line | 209 PARK PLACE CV SUITE E
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City | PEARL
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State | MS
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Zip | 39208-8948
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Country | US
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Telephone | 601-420-2210
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Fax | 601-420-2210
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNESE HUTCHINS
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Credential | PH.D., LPC
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Telephone | 601-420-2210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1817
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2783
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1469
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License Number State | MS
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