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General NPI Number Information
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NPI Number | 1851288831
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Entity Type | Organization
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Legal Business Name | SERENE LIFE COUNSELING LLC
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Dates
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Enumeration Date | 06/21/2025
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1221 W IRONWOOD DR STE 102
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City | COEUR D ALENE
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State | ID
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Zip | 83814-1402
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Country | US
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Telephone | 425-870-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 2959 W STRAWBERRY LN
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City | HAYDEN
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State | ID
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Zip | 83835-8494
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Country | US
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Telephone | 425-870-2222
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Fax |
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | LORI ALDRICH
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Credential |
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Telephone | 208-664-2486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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