Provider Demographics
NPI:1689564882
Name:SERENITY HOUSE COUNSELING SERVICES INC.
Entity type:Organization
Organization Name:SERENITY HOUSE COUNSELING SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSCHBACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-620-6616
Mailing Address - Street 1:891 S ROHLWING RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-4220
Mailing Address - Country:US
Mailing Address - Phone:630-620-6616
Mailing Address - Fax:630-620-6616
Practice Address - Street 1:891 S ROHLWING RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-4220
Practice Address - Country:US
Practice Address - Phone:630-620-6616
Practice Address - Fax:630-620-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty