SERENITY COUNSELING SERVICES PA (NPI# 1275689812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275689812 |
| Entity Type | Organization |
| Organization Name | SERENITY COUNSELING SERVICES PA |
| Practice Address |
500 Nw Dixie Hwy Suite 102 Stuart FL 34994 |
| Mailing Address |
Po Box 2474 Stuart FL 34995 |
| Practice Telephone | 7726928585 |
| Practice Fax Number | 7726925651 |
| Mailing Telephone | 7726928585 |
| Mailing Fax Number | 7726925651 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | GILDA G BROADWELL (PSYCHOLOGIST) |
| Authorized Official Telephone | 7726928585 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PY5591 | FL | Behavioral Health & Social Service Providers |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1943AD620400 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | C&F SUB ABUSE COUNSELING | 15-43-AD-6204-00 | 01 |
| Street Address |
500 NW DIXIE HWY SUITE 102 |
| City | STUART |
| State | FL |
| Zip Code | 34994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508927302 | Mark William Fedele | Dentist | 500 Nw Dixie Hwy, Suite 200, Stuart, FL 34994 | 2006-12-13 |
| 1700290897 | Matthew Hooks | Dentist | 500 Nw Dixie Hwy, Suite 200, Stuart, FL 34994 | 2014-06-17 |
| 1881989101 | Mwf, Inc | Dentist | 500 Nw Dixie Hwy, Suite 200, Stuart, FL 34994 | 2011-06-15 |
| 1750694543 | Ndm Partners LLC | Nursing Care | 500 Nw Dixie Hwy, Suite 104, Stuart, FL 34994 | 2010-07-21 |
| 1942421995 | Gilda G Broadwell | Psychologist | 500 Nw Dixie Hwy, Suite 102, Stuart, FL 34994-1186 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104372663 | Access Recovery, LLC | Clinic/Center | 31 Se Ocean Blvd, Stuart, FL 34994-2214 | 2016-08-25 |
| 1649705393 | Solid Rock Recovery LLC | Clinic/Center | 1320 Se Federal Hwy, Suite207, Stuart, FL 34994-3407 | 2017-05-01 |
| 1457895625 | The Gittens Clinic Inc | Clinic/Center | 789 Sw Federal Hwy Ste 212, Stuart, FL 34994-2962 | 2016-12-07 |
| 1669820635 | Artesian Wellness & Recovery Centers LLC | Clinic/Center | 2500 S Kanner Hwy, Suite 2, Stuart, FL 34994-4600 | 2016-05-31 |
| 1407221328 | Banyan Detox, LLC | Clinic/Center | 201 Se Osceola St, Stuart, FL 34994-2210 | 2015-12-03 |
| 1053790402 | Rise Up Recovery, Inc | Clinic/Center | 2026 Se Ocean Blvd, Stuart, FL 34996-3304 | 2015-05-19 |
| 1841545100 | Artesian Wellness and Recovery Centers, LLC. | Clinic/Center | 2500 S Kanner Hwy, Suite 1, Stuart, FL 34994-4600 | 2012-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839283 | St John's Recovery Place LLC | Clinic/Center | St Johns Recovery Place LLC, 1811 S Orlando Ave, Cocoa Beach, FL 32931-3211 | 2020-07-24 |
| 1205451689 | Inspire of Palm Beach | Clinic/Center | 1803 S Australian Ave, West Palm Beach, FL 33409-6454 | 2020-06-11 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1265054761 | Holistix Treatment Centers, LLC | Clinic/Center | 5311 Lake Worth Rd, Greenacres, FL 33463-3353 | 2020-05-07 |
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.