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General NPI Number Information
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NPI Number | 1831082197
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Entity Type | Organization
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Legal Business Name | WAVES OF SERENITY COUNSELING LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2430 BUTLER ST UNIT 472
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City | EASTON
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State | PA
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Zip | 18042-5303
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Country | US
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Telephone | 610-751-3177
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 BUTLER ST UNIT 172
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City | EASTON
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State | PA
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Zip | 18042-5303
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Country | US
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Telephone | 610-751-3177
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRIANNA SERRANO
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Credential | LCSW
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Telephone | 610-751-3177
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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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