SERENITY BEHAVIORAL HEALTH LLC NPI 1851665186

NPI Information

NPI: 1851665186
Provider Name: SERENITY BEHAVIORAL HEALTH LLC
Classification: Registered Nurse - 163WP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
616 GOLD STAR HWY
GROTON, CT
ZIP 06340
Phone: (860) 449-0200
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SERENITY BEHAVIORAL HEALTH LLC is a psychiatric/mental health registered nurse in Groton, CT. SERENITY BEHAVIORAL HEALTH LLC NPI is 1851665186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

616 GOLD STAR HWY
GROTON, CT
ZIP 06340-221
Phone: (860) 449-0200

The provider's authorized official is Ann Elisa Wratchford .
The authorized official title is Owner and has the following contact phone number (860) 449-0200.

The enumeration date for this NPI number is 3/5/2012 and was last updated on 3/5/2012.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health			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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1063598316	OTHER	CONNECTICUT	INDIVIDUAL NPI

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

NPI Synchronization or Removal

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