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General NPI Number Information
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NPI Number | 1205416260
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Entity Type | Organization
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Legal Business Name | SERENITY PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 10411 MOTOR CITY DR STE 301
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City | BETHESDA
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State | MD
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Zip | 20817-1090
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Country | US
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Telephone | 240-370-1248
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Fax |
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Provider Business Mailing Address
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Address Line | 10411 MOTOR CITY DR STE 301
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City | BETHESDA
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State | MD
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Zip | 20817-1090
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Country | US
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Telephone | 240-370-1248
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | THALIA OLGA KIRIMLIS
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Credential | PSYD
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Telephone | 240-370-1248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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