Organization
SERENITY THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANNE LITTLE LCSW (OWNER)
(505) 670-7312
Entity
Organization
Contact information
Practice address
5 TAOS TRL N, CORRALES, NM 87048-9660
(505) 670-7312
Mailing address
5 TAOS TRL N, CORRALES, NM 87048-9660
(505) 670-7312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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