# SERENITY HOUSE PCH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720396773
- **Authorized official:** DEIDRE COBB TIFT LMSW, RNC (PRESIDENT)
- **Authorized official phone:** (912) 977-4643

## Contact information

- **Practice address:** 210 GARDEN CIR, HINESVILLE, GA 31313-4421
- **Practice address phone:** (912) 977-4663
- **Practice address fax:** (912) 369-6530
- **Mailing address:** 210 GARDEN CIR, HINESVILLE, GA 31313-4421
- **Mailing address phone:** (912) 977-4663
- **Mailing address fax:** (912) 369-6530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 080640 | MI | — |
| 106H00000X | Marriage & Family Therapist | MSW002656 | GA | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/30/2010