SERENITY MENTAL HEALTH SERVICES NPI 1043785124

NPI Information

  • NPI: 1043785124
  • Provider Name: SERENITY MENTAL HEALTH SERVICES
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2320 DRUSILLA LN
    STE A PMB 2020
    BATON ROUGE, LA
    ZIP 70809
  • Phone: (225) 255-0899

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NPI Details

SERENITY MENTAL HEALTH SERVICES is a psychiatric/mental health nurse practitioner in Baton Rouge, LA. SERENITY MENTAL HEALTH SERVICES NPI is 1043785124. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2320 DRUSILLA LN
STE A PMB 2020
BATON ROUGE, LA
ZIP 70809
Phone: (225) 255-0899
Fax: (225) 341-4345

The provider's authorized official is Ashley Clark .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (225) 255-0899.

The enumeration date for this NPI number is 10/4/2018 and was last updated on 5/15/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12308360MEDICAIDLOUISIANA

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: 3/30/2025

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