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General NPI Number Information
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NPI Number | 1437958865
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Entity Type | Organization
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Legal Business Name | SERENITY SPRINGS COUNSELING LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 520 W 2200 N
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City | WEST BOUNTIFUL
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State | UT
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Zip | 84087-1017
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Country | US
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Telephone | 385-550-7531
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Fax |
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Provider Business Mailing Address
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Address Line | 724 FRONT ST STE 512
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City | EVANSTON
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State | WY
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Zip | 82930-3567
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Country | US
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Telephone | 307-444-2308
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNETTE CHRISTENESN
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Credential | LPC
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Telephone | 385-550-7531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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