Organization
SERENITY WITHIN
Active
Organization
SERENITY WITHIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA AGUIRRE LCSW (CEO)
(615) 979-0789
Entity
Organization
Contact information
Practice address
1038 BLACK GUM LN, CLARKSVILLE, TN 37043-1440
(615) 979-0789
Mailing address
1038 BLACK GUM LN, CLARKSVILLE, TN 37043-1440
(615) 979-0789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254212
SOCIAL WORK
KY
01
—
6699
SOCIAL WORK
TN
Enumeration date
12/22/2021
Last updated
12/22/2021
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