Individual
SERENITY GRACE MICHELLE SILVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
1619 DAYTON AVE STE 325, SAINT PAUL, MN 55104-6495
(763) 228-4752
Mailing address
1041 GRAND AVE STE 135, SAINT PAUL, MN 55105-3002
(651) 419-6960
(651) 560-3898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305765
MN
101YM0800X
Mental Health Counselor
Primary
3629
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305765
LICENSED ALCOHOL AND DRUG COUNSELOR
MN
01
—
3629
LICENSED PROFESSIONAL CLINICAL COUNSELOR
MN
Enumeration date
01/20/2020
Last updated
03/19/2026
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