Organization
SERENITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA RICE LCSW-C,MAC,ADS (OWNER/PROVIDER)
(301) 722-5500
Entity
Organization
Contact information
Practice address
118 VALLEY ST, CUMBERLAND, MD 21502-2141
(301) 722-5500
(301) 722-0500
Mailing address
118 VALLEY ST, CUMBERLAND, MD 21502-2141
(301) 722-5500
(301) 722-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099466900
—
MD
01
—
CE600001
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/04/2019
Last updated
06/06/2019
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