SERENITY PATHWAY LLC NPI 1306637947

NPI Information

  • NPI: 1306637947
  • Provider Name: SERENITY PATHWAY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 16701 MELFORD BLVD STE 400
    BOWIE, MD
    ZIP 20715
  • Phone: (240) 486-6173

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NPI Details

SERENITY PATHWAY LLC is a mental health (including community mental health center) clinic center in Bowie, MD. SERENITY PATHWAY LLC NPI is 1306637947. The provider is registered as an organization entity type.

The provider's business location address is:

16701 MELFORD BLVD STE 400
BOWIE, MD
ZIP 20715-411
Phone: (240) 486-6173

The provider's authorized official is Oyindamola Duntoye Simien .
The authorized official title is Program Director and has the following contact phone number (337) 349-9849.

The enumeration date for this NPI number is 5/14/2025 and was last updated on 5/14/2025.

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
1283Q00000XPsychiatric HospitalNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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