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General NPI Number Information
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NPI Number | 1992527097
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Entity Type | Organization
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Legal Business Name | SERENITY SPACE THERAPY AND SUPERVISION
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1100 WATSON AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-6572
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Country | US
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Telephone | 475-619-2582
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Fax | 888-830-0275
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Provider Business Mailing Address
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Address Line | 7050 N PALAFOX ST # 1003
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City | PENSACOLA
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State | FL
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Zip | 32503-7157
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Country | US
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Telephone | 475-619-2582
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Fax | 888-830-0275
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Authorized Official
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Title or Position | OWNER/LEAD THERAPIST
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Name | MISS ERICA NICOLE WARD
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Credential | LCSW
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Telephone | 850-748-1800
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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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