Organization
THE SERENE SHIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SHIELDS M. ED, LPC, NCC (OWNER)
(804) 691-7624
Entity
Organization
Contact information
Practice address
1021 LEE ROAD 201, SALEM, AL 36874-4161
(804) 691-7624
Mailing address
1021 LEE ROAD 201, SALEM, AL 36874-4161
(804) 691-7624
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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