SERENA STACK
NPI 1023876026
Counselor - Mental Health in Salem, MA
Active since March 13, 2024
About Serena Stack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENA STACK (NPI 1023876026) is an individual mental health provider in Salem, Massachusetts and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1023876026
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSERENA STACK
Location Address110 BOSTON STSalem, MA 01970-1402
Mailing Address5 Fred StBurlington, MA 01803-4507 · (617) 997-5407
Phone(978) 744-7905
Sole ProprietorNo
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1023876026 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
110 BOSTON ST, Salem, MA 01970
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023876026, enumerated as an "individual" on March 13, 2024.
The provider is located at 110 BOSTON ST SALEM, MA 01970 and the phone number is (978) 744-7905.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
