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SERENITY WELLNESS LLC NPI 1497397723


NPI Information

NPI: 1497397723
Provider Name: SERENITY WELLNESS, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
524 CLEVELAND BLVD STE 230
CALDWELL, ID
ZIP 83605
Phone: (208) 800-0588
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SERENITY WELLNESS, LLC is a community behavioral health in Caldwell, ID. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SERENITY WELLNESS, LLC NPI is 1497397723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

524 CLEVELAND BLVD STE 230
CALDWELL, ID
ZIP 83605-076
Phone: (208) 800-0588
Fax: (208) 800-0599

The provider's authorized official is Aaron Elias St.george .
The authorized official title is Executive Director and has the following contact phone number (208) 800-0588.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 10/8/2019.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251B00000XCase ManagementNo
3261QM0850XClinic/CenterAdult Mental HealthNo
4324500000XSubstance Abuse Rehabilitation FacilityNo
5251S00000XCommunity/Behavioral HealthYes

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: 11/14/2023

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