Provider Demographics
NPI:1679339675
Name:SERENITY SPRINGS CONSULTING, LLC
Entity type:Organization
Organization Name:SERENITY SPRINGS CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ISABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-357-5127
Mailing Address - Street 1:2955 NEW CENTER PT # 1011
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2806
Mailing Address - Country:US
Mailing Address - Phone:719-357-5127
Mailing Address - Fax:
Practice Address - Street 1:606 MANITOU AVE
Practice Address - Street 2:
Practice Address - City:MANITOU SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80829-1877
Practice Address - Country:US
Practice Address - Phone:719-357-5127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty