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General NPI Number Information
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NPI Number | 1922550342
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Entity Type | Organization
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Legal Business Name | SERENITY FOR YOUTH &FAMILIES
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 400 PENN CENTER BLVD SUITE 312
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City | PITTSBURGH
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State | PA
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Zip | 15235-5613
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Country | US
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Telephone | 412-523-9981
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Fax |
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Provider Business Mailing Address
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Address Line | 400 PENN CENTER BLVD SUITE 312
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City | PITTSBURGH
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State | PA
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Zip | 15235-5613
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Country | US
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Telephone | 412-523-9981
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DR. TAMARE PIERSAINT
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Credential | PSY.D., CRC, LPC
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Telephone | 412-523-9981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC008312
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License Number State | PA
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