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Organization

SERENITY COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HUGH LEE FLEMMING SR. DMIN (PRESIDENT)
(773) 643-0500
Entity
Organization

Contact information

Practice address
2011 E 75TH, SUITE 103, CHICAGO, IL 60649
(773) 643-0500
(773) 643-0545
Mailing address
2011 E 75TH SUITE 106, PO BOX 19506, CHICAGO, IL 60649
(773) 643-0500
(773) 643-0545

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01618891
BCBS
IL
Enumeration date
12/06/2006
Last updated
08/22/2020
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