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SERENITY CENTER OF YOUNGSTOWN LLC NPI 1760861249


NPI Information

NPI: 1760861249
Provider Name: SERENITY CENTER OF YOUNGSTOWN, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 36D2127012

Address:
11369 MARKET ST
NORTH LIMA, OH
ZIP 44452
Phone: (330) 965-9999
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SERENITY CENTER OF YOUNGSTOWN, LLC is a mental health (including community mental health center) clinic center in North Lima, OH. SERENITY CENTER OF YOUNGSTOWN, LLC NPI is 1760861249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11369 MARKET ST
NORTH LIMA, OH
ZIP 44452-782
Phone: (330) 965-9999
Fax: (330) 757-0000

The provider's authorized official is Cyndee Fisher .
The authorized official title is Contracting Coordinator and has the following contact phone number (330) 965-9999.

The CLIA number assigned to this NPI record is 36D2127012 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 3/30/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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
10193654MEDICAIDOHIO
20193685MEDICAIDOHIO
30134669MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.