Provider Demographics
NPI:1588375943
Name:CENTER OF SERENITY LLC
Entity type:Organization
Organization Name:CENTER OF SERENITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KUCALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-314-4574
Mailing Address - Street 1:500 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3701
Mailing Address - Country:US
Mailing Address - Phone:330-314-4574
Mailing Address - Fax:
Practice Address - Street 1:500 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:WINTERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3701
Practice Address - Country:US
Practice Address - Phone:330-314-4574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty