Organization
SERENITY COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SARAH HSU LCSW (PRESIDENT)
(541) 969-4070
Entity
Organization
Contact information
Practice address
1253 STONEWOOD CT, MILTON FREEWATER, OR 97862-1067
(541) 969-4070
(541) 215-1718
Mailing address
1253 STONEWOOD CT, MILTON FREEWATER, OR 97862-1067
(541) 969-4070
(541) 215-1718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
115331191
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225401151
MEDICARE
—
Enumeration date
10/30/2015
Last updated
10/30/2015
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