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Organization

SERENITY RESTORATION SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUANN RODRIGUEZ PHD (PRESIDENT)
(786) 231-0910
Entity
Organization

Contact information

Practice address
18901 SW 106TH AVE, SUITE # 108, CUTLER BAY, FL 33157-7661
(786) 231-0910
Mailing address
18901 SW 106TH AVE, SUITE # 108, CUTLER BAY, FL 33157-7661
(786) 231-0910

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH9387
FL
106H00000X
Marriage & Family Therapist
Primary
MT2335
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00960505700
FL
Enumeration date
09/24/2014
Last updated
09/24/2014
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