Provider Demographics
NPI:1063225530
Name:SERENITY THERAPY & WELLNESS LCSW PLLC
Entity type:Organization
Organization Name:SERENITY THERAPY & WELLNESS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-678-3475
Mailing Address - Street 1:57 W MAIN ST STE 320
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3445
Mailing Address - Country:US
Mailing Address - Phone:631-626-0185
Mailing Address - Fax:
Practice Address - Street 1:57 W MAIN ST STE 320
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3445
Practice Address - Country:US
Practice Address - Phone:631-626-0185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty