MEDICARE: SERENITY & WELLNESS COUNSELING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1548117104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY & WELLNESS COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	4918 SILVER GATE LN APT 322
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1369
Country	:	US
Telephone Number	:	941-946-8321
Fax Number	:

Provider Business Practice Location Address
First Line	:	4918 SILVER GATE LN APT 322
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1369
Country	:	US
Telephone Number	:	941-946-8321
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	CRYSTAL ROLLEFSON
Credential	:	LMHC
Telephone Number	:	941-946-8321

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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