Provider Demographics
NPI:1366299166
Name:SERENE CONNECTIONS COUNSELING
Entity type:Organization
Organization Name:SERENE CONNECTIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWOBE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:920-240-7473
Mailing Address - Street 1:303 WATSON ST STE D
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:WI
Mailing Address - Zip Code:54971-1516
Mailing Address - Country:US
Mailing Address - Phone:920-240-7473
Mailing Address - Fax:
Practice Address - Street 1:303 WATSON ST STE D
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:WI
Practice Address - Zip Code:54971-1516
Practice Address - Country:US
Practice Address - Phone:920-240-7473
Practice Address - Fax:920-267-3480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty