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General NPI Number Information
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NPI Number | 1396229431
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Entity Type | Organization
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Legal Business Name | SERENITY SOLUTIONS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 10/14/2018
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Provider Practice Location Address
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Address Line | 115 LONGWOOD DR SW STE D
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4500
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Country | US
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Telephone | 256-652-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 115 LONGWOOD DR SW STE D
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4500
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Country | US
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Telephone | 256-588-1967
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Fax | 256-531-9448
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SARA RUTH SOUTHERN
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Credential | LICSW
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Telephone | 256-585-1967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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