MEDICARE: SERENITY THERAPY, 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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558908418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY THERAPY, LLC

Provider Business Mailing Address
First Line	:	210 JONES ST STE 200
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-7615
Country	:	US
Telephone Number	:	563-557-6869
Fax Number	:	563-334-7989

Provider Business Practice Location Address
First Line	:	210 JONES ST STE 200
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-7615
Country	:	US
Telephone Number	:	563-557-6869
Fax Number	:	563-334-7989

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	AMBER M TEUBERT
Credential	:
Telephone Number	:	563-557-6869

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	04/28/2025

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Directions to “SERENITY THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

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