SERENITY PSYCHIATRY OF NORTH TEXAS PLLC NPI 1457136582

NPI Information

NPI: 1457136582
Provider Name: SERENITY PSYCHIATRY OF NORTH TEXAS, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
6777 CAMP BOWIE BLVD STE 100
FORT WORTH, TX
ZIP 76116
Phone: (817) 646-9699
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SERENITY PSYCHIATRY OF NORTH TEXAS, PLLC is a psychiatric/mental health nurse practitioner in Fort Worth, TX. SERENITY PSYCHIATRY OF NORTH TEXAS, PLLC NPI is 1457136582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6777 CAMP BOWIE BLVD STE 100
FORT WORTH, TX
ZIP 76116-156
Phone: (817) 646-9699
Fax: (817) 259-2841

The provider's authorized official is Erin Colleen Willbanks .
The authorized official title is Aprn and has the following contact phone number (817) 646-9699.

The enumeration date for this NPI number is 8/28/2023 and was last updated on 8/28/2023.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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: 5/5/2024

NPI Synchronization or Removal

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