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NPI Code Detail

MEDICARE: SERENITY OF LIFE COUNSELING SERVICES

MEDICARE: SERENITY OF LIFE COUNSELING SERVICES
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1891352308
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY OF LIFE COUNSELING SERVICES
Provider Business Mailing Address
First Line : 2911 TURTLE CREEK BLVD STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75219-6243
Country : US
Telephone Number : 972-774-8947
Fax Number : 972-755-6843
Provider Business Practice Location Address
First Line : 2911 TURTLE CREEK BLVD STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75219-6243
Country : US
Telephone Number : 972-774-8947
Fax Number : 972-755-6843
Authorized Official
Title or Position : LPC
Name : MRS. LATOYA EELISKA PLATER
Credential : LPC
Telephone Number : 972-774-8947
Provider Enumeration Date : 05/21/2019
Last Update Date : 06/11/2019

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Directions to “SERENITY OF LIFE COUNSELING SERVICES ” 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.

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