Provider Demographics
NPI:1437670940
Name:RESTORING SERENITY COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:RESTORING SERENITY COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:SH'NIQUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:817-989-6336
Mailing Address - Street 1:2261 BROOKHOLLOW PLAZA DR STE 210
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7430
Mailing Address - Country:US
Mailing Address - Phone:817-989-6336
Mailing Address - Fax:817-549-4791
Practice Address - Street 1:2261 BROOKHOLLOW PLAZA DR STE 210
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7430
Practice Address - Country:US
Practice Address - Phone:817-989-6336
Practice Address - Fax:817-549-4791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX414701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty