Serenity Wellness, LLC
Counselor, Mental Health in Ellicott City, MD. Organization (NPI-2).
NPI number1982425492
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1982425492
- Entity type
- Organization (NPI-2)
- Legal business name
- Serenity Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2024
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
10045 Baltimore National Pike # A71025Ellicott City, MD 21042-3673
Phone 410-913-3911
Mailing address
10045 Baltimore National Pike # A71025Ellicott City, MD 21042-3673
Authorized official
Shaniqua Parrish-Bacon
Mental Health Therapist
4109133911
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