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Organization
SERENDIPITY THERAPY, PLLC
Active
Organization
SERENDIPITY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE FARRELL L.C.S.W (THERAPIST/OWNER)
(704) 928-8266
Entity
Organization
Contact information
Practice address
1165 MCKEE FARM LANE, BELMONT, NC 28012-8671
(704) 928-8266
Mailing address
PO BOX 581, CORNELIUS, NC 28031-0581
(704) 928-8266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006381
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2347985
MEDICARE PTAN
NC
05
—
6008220
—
NC
Enumeration date
09/21/2009
Last updated
09/15/2016
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