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General NPI Number Information
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NPI Number | 1902515513
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Entity Type | Organization
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Legal Business Name | SERENITY WALK COUNSELING SERVICES, LCSW, PLLC
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 10 EAST MAIN STREET SUITE 210, MAILSLOT 4
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City | VICTOR
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State | NY
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Zip | 14564
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Country | US
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Telephone | 585-905-5468
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Fax |
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Provider Business Mailing Address
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Address Line | 10 EAST MAIN STREET SUITE 210, MAILBOX 4
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City | VICTOR
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State | NY
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Zip | 14564
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Country | US
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Telephone | 585-905-5468
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SARAH G MARTYN-BRUNNER
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Credential | LCSW, CASAC, CST
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Telephone | 585-905-5468
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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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