MEDICARE: SERENITY 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	LPC.0013725	CO

General Provider Information

NPI Number	:	1922522135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY COUNSELING PLLC

Provider Business Mailing Address
First Line	:	10290 S PROGRESS WAY STE 205
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-9056
Country	:	US
Telephone Number	:	720-697-3941
Fax Number	:

Provider Business Practice Location Address
First Line	:	10290 S PROGRESS WAY STE 205
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-9056
Country	:	US
Telephone Number	:	720-697-3941
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	HEATHER DAWN WESTBARN
Credential	:	LPC
Telephone Number	:	720-697-3941

Provider Enumeration Date	:	07/29/2017
Last Update Date	:	07/21/2022

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