OrganizationVita Serenity Counseling LlcCounselorBehavioral Health & Social Service ProvidersPractice Address855 E Brandon Blvd Ste C, Brandon, FL 33511-5418(813) 650-6497PECOS EnrollmentBased on the most recent information from CMS, provider Vita Serenity Counseling Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1841842978Provider TypeOrganizationFull NameVita Serenity Counseling LlcSubpartNoEnumeration Date7/9/2019Last Updated7/30/2019Contact InformationPractice LocationPractice Address855 E Brandon Blvd Ste C, Brandon, FL 33511-5418Phone(813) 650-6497FaxUnlisted FaxMailing LocationMailing Address855 E Brandon Blvd Ste C, Brandon, FL 33511-5418Phone(813) 650-6497FaxUnlisted FaxAuthorized OfficialNameDominguez, Mildred (Licensed Mental Health Counselor)Phone(813) 650-6497Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer