Organization
SERENITY MENTAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RANDALL ALLEN LCSW (OWNER)
(458) 245-6948
Entity
Organization
Contact information
Practice address
2837 TANDY TURN, EUGENE, OR 97401-5193
(458) 245-6948
Mailing address
2837 TANDY TURN, EUGENE, OR 97401-5193
(458) 245-6948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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