Soulful Serenity, Mental Health Counseling Services, PLLC.

Organization Active NPI Mental Health Counselor · Pine City, NY

NPI 1821806274 · NPPES record last updated Dec 18, 2024

Key facts

NPI
1821806274
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
SOULFUL SERENITY, MENTAL HEALTH COUNSELING SERVICES, PLLC.
Practice address
1520 Pennsylvania Ave
Pine City, NY 14871-9108
Phone
(607) 442-6121
NPI assigned
Dec 18, 2024
Organization subpart
No

Authorized official

Name
Mrs. Erinne Lynn Gibson, LMHC NPI 1104247345
Title
Owner
Phone
(607) 331-3121

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

1520 Pennsylvania Ave
Pine City, NY 14871-9108

Mailing address

1520 Pennsylvania Ave
Pine City, NY 14871-9108

Other providers in Pine City, NY

All providers in Pine City, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.