Provider Demographics
NPI:1033817929
Name:SERENITY HEALTH TELEPSYCHIATRY LLC
Entity Type:Organization
Organization Name:SERENITY HEALTH TELEPSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERIBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:610-442-1065
Mailing Address - Street 1:1244 CHANNING PARK CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-7641
Mailing Address - Country:US
Mailing Address - Phone:919-703-1400
Mailing Address - Fax:
Practice Address - Street 1:1244 CHANNING PARK CIR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-7641
Practice Address - Country:US
Practice Address - Phone:919-703-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty