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SERENITY SOBER LIVVING LLC NPI 1558902916


NPI Information

NPI: 1558902916
Provider Name: SERENITY SOBER LIVVING, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 19D2229383

Address:
4600 REDDIX LN
MONROE, LA
ZIP 71202
Phone: (337) 534-9205
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SERENITY SOBER LIVVING, LLC is a substance abuse rehabilitation facility in Monroe, LA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SERENITY SOBER LIVVING, LLC NPI is 1558902916. The provider is registered as an organization entity type.

The provider's business location address is:

4600 REDDIX LN
MONROE, LA
ZIP 71202-949
Phone: (337) 534-9205

The provider's authorized official is Samuel Charles Dundee .
The authorized official title is Business Office Manager and has the following contact phone number (337) 534-9205.

The CLIA number assigned to this NPI record is 19D2229383 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 10/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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