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SERENITY WELLNESS NPI 1619364551


NPI Information

NPI: 1619364551
Provider Name: SERENITY WELLNESS
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2929 COORS BLVD NW STE 201I
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 750-1214
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SERENITY WELLNESS is a community behavioral health in Albuquerque, NM. 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 NPI is 1619364551. The provider is registered as an organization entity type.

The provider's business location address is:

2929 COORS BLVD NW STE 201I
ALBUQUERQUE, NM
ZIP 87120-279
Phone: (505) 750-1214

The provider's authorized official is Veronica Joann Padilla .
The authorized official title is Owner/therapist and has the following contact phone number (505) 750-1214.

The enumeration date for this NPI number is 4/17/2015 and was last updated on 2/11/2016.


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
1251S00000XCommunity/Behavioral Health0132181NEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
171673202MEDICAIDNEW MEXICO

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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