Organization
SERENITY WELLNESS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRICIA DOHERTY LCPC (OWNER)
(240) 291-8027
Entity
Organization
Contact information
Practice address
18718 NORTHRIDGE DR, HAGERSTOWN, MD 21742-2452
(240) 291-8027
(240) 402-6520
Mailing address
18718 NORTHRIDGE DR, HAGERSTOWN, MD 21742-2452
(240) 291-8027
(240) 402-6520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC4218
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500925-00
—
MD
Enumeration date
02/22/2017
Last updated
02/22/2017
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