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General NPI Number Information
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NPI Number | 1689226961
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Entity Type | Organization
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Legal Business Name | SERENITY WELLNESS MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 3800 N BUFFALO ST
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1840
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Country | US
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Telephone | 716-536-6950
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Fax | 716-535-1035
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Provider Business Mailing Address
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Address Line | 3800 N BUFFALO ST
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1840
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Country | US
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Telephone | 716-536-6950
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Fax | 716-535-1035
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON MARIE HERR
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Credential | LMHC CASAC CEAP
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Telephone | 716-536-6950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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