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General NPI Number Information
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NPI Number | 1891373122
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Entity Type | Organization
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Legal Business Name | SERENITY COUNSELING LLC
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 3829 71ST ST STE B1
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City | URBANDALE
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State | IA
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Zip | 50322-3263
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Country | US
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Telephone | 515-954-7811
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Fax | 515-706-3402
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Provider Business Mailing Address
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Address Line | PO BOX 8156
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City | DES MOINES
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State | IA
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Zip | 50301-8156
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Country | US
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Telephone | 641-233-8879
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Fax | 515-462-0504
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Authorized Official
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Title or Position | THERAPIST/ OWNER
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Name | MRS. SHARAINE M WEBSTER
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Credential | LISW, IADC
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Telephone | 515-954-7811
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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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