Provider Demographics
NPI:1134648678
Name:SEEK SERENITY
Entity type:Organization
Organization Name:SEEK SERENITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAFINAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMSUDIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:703-939-7741
Mailing Address - Street 1:43676 TRADE CENTER PL STE 135
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2124
Mailing Address - Country:US
Mailing Address - Phone:703-939-7741
Mailing Address - Fax:
Practice Address - Street 1:43676 TRADE CENTER PL
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-2182
Practice Address - Country:US
Practice Address - Phone:703-939-7741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-15
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005338101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty