Provider Demographics
NPI:1548813512
Name:SERENITY COUNSELING LLC
Entity type:Organization
Organization Name:SERENITY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:MIELKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-363-2302
Mailing Address - Street 1:PO BOX 324
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:MI
Mailing Address - Zip Code:49056-0324
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:54320 COUNTY ROAD 388
Practice Address - Street 2:
Practice Address - City:GRAND JCT
Practice Address - State:MI
Practice Address - Zip Code:49056-9272
Practice Address - Country:US
Practice Address - Phone:269-363-2302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty