Organization
SERENITY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY GIBSON MBS, LPC-S (CEO)
(580) 380-4285
Entity
Organization
Contact information
Practice address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(580) 380-4285
Mailing address
PO BOX 433, WISTER, OK 74966-0433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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