Provider Demographics
NPI:1912754441
Name:SARA DEESE, LLC DBA SERENITY OAKS COUNSELING
Entity type:Organization
Organization Name:SARA DEESE, LLC DBA SERENITY OAKS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEESE
Authorized Official - Suffix:
Authorized Official - Credentials:MCAP, LMHC, LPC
Authorized Official - Phone:727-304-3842
Mailing Address - Street 1:7316 OTTER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4000
Mailing Address - Country:US
Mailing Address - Phone:727-215-1293
Mailing Address - Fax:
Practice Address - Street 1:5411 GRAND BLVD STE 109
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4010
Practice Address - Country:US
Practice Address - Phone:727-304-3842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)