Organization
BROOK OF SERENITY THERAPY, LLC
Active
Organization
BROOK OF SERENITY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELENA COLEMAN (PASTORAL CARE COUNSELOR & THERAPIST)
(678) 908-8371
Entity
Organization
Contact information
Practice address
434 FLAT SHOALS AVE SE STE 5, ATLANTA, GA 30316-1915
(832) 542-3982
Mailing address
1273 METROPOLITAN AVE SE UNIT 160014, ATLANTA, GA 30316-8000
(678) 908-8371
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
09134046
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508272402
—
GA
Enumeration date
07/18/2014
Last updated
09/06/2023
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