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Organization

SERENITYONWHEELS, INC.

Active
Other names
No
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN SHEA LCPC CADC (COUNSELOR)
(815) 431-8206
Entity
Organization

Contact information

Practice address
SERENITY ON WHEELS, INC. 630 COLUMBUS STREET, STE # 214, OTTAWA, IL 61350
(815) 431-8206
Mailing address
630 COLUMBUS STREET, STE # 214, OTTAWA, IL 61350
(815) 431-8206

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6878
IL
101YP2500X
Professional Counselor
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6878
CADC
IL
Enumeration date
05/16/2007
Last updated
09/11/2025
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