Organization
SERENITY THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY BALLARD (CLINICAL DIRECTOR)
(803) 620-5777
Entity
Organization
Contact information
Practice address
4607 CHARLOTTE HWY STE 18, LAKE WYLIE, SC 29710-8149
(803) 620-5409
Mailing address
4607 CHARLOTTE HWY STE 18, LAKE WYLIE, SC 29710-8149
(803) 620-5409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/26/2020
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