MEDICARE: SERENITY WELLNESS MENTAL HEALTH COUNSELING PLLC

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

General Provider Information

NPI Number	:	1689226961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY WELLNESS MENTAL HEALTH COUNSELING PLLC

Provider Business Mailing Address
First Line	:	3800 N BUFFALO ST
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1840
Country	:	US
Telephone Number	:	716-536-6950
Fax Number	:	716-535-1035

Provider Business Practice Location Address
First Line	:	3800 N BUFFALO ST
Second Line	:
City	:	ORCHARD PARK
State	:	NY
Zip	:	14127-1840
Country	:	US
Telephone Number	:	716-536-6950
Fax Number	:	716-535-1035

Authorized Official
Title or Position	:	OWNER
Name	:	SHANNON MARIE HERR
Credential	:	LMHC CASAC CEAP
Telephone Number	:	716-536-6950

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	07/16/2019

Similar Medicare Providers

1235114604 — DR. TAHIRA A JUIRIS MD
Practice Location Address:

1840 GREEN BAY RD
HIGHLAND PARK, IL
60035-3110

Practice Phone: 847-984-5300
Practice Fax: 847-681-8313

1619923794 — DR. MARIZEL M. DERBY O.D.
Practice Location Address:

7250 UNION PARK AVE
MIDVALE, UT
84047-1840

Practice Phone: 801-255-0709
Practice Fax:

1821035262 — DR. JACQUES A DERZIE MD
Practice Location Address:

1840 LAKEVILLE ROAD
NEW HYDE PARK, NY
11040-1930

Practice Phone: 516-354-1234
Practice Fax: 516-354-6385

1285663328 — COUNTY OF LAKE
Practice Location Address:

1840 GREEN BAY RD
HIGHLAND PARK, IL
60035-3110

Practice Phone: 847-984-5300
Practice Fax: 847-984-8312

1710919360 — INFOCUS EYECARE, INC.
Practice Location Address:

7250 UNION PARK AVE
MIDVALE, UT
84047-1840

Practice Phone: 801-599-8720
Practice Fax:

1689691875 — WALMART INC.
Practice Location Address:

7250 S UNION PARK AVE
MIDVALE, UT
84047-1840

Practice Phone: 801-255-0294
Practice Fax:

Directions to “SERENITY WELLNESS MENTAL HEALTH COUNSELING PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.