Provider Demographics
NPI:1831060789
Name:SAGE SERENITY COUNSELING, PLLC
Entity type:Organization
Organization Name:SAGE SERENITY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:915-247-6163
Mailing Address - Street 1:10600 MONTWOOD DR STE 111
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-2713
Mailing Address - Country:US
Mailing Address - Phone:915-247-6163
Mailing Address - Fax:
Practice Address - Street 1:10600 MONTWOOD DR STE 111
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-2713
Practice Address - Country:US
Practice Address - Phone:915-247-6163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health