# LACEY CORNELIUSEN, LICSW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Serenity Health Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861813271
- **Authorized official:** LACEY D CORNELIUSEN LICSW (THERAPIST)
- **Authorized official phone:** (701) 838-1558

## Contact information

- **Practice address:** 315 MAIN ST S, STE 301, MINOT, ND 58701-3956
- **Practice address phone:** (701) 838-1558
- **Practice address fax:** (701) 852-0402
- **Mailing address:** 315 MAIN ST S, STE 301, MINOT, ND 58701-3956
- **Mailing address phone:** (701) 838-1558
- **Mailing address fax:** (701) 852-0402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4558 | ND | Yes |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 01/02/2014