Provider Demographics
NPI:1073389078
Name:SERENITY MENTAL HEALTH CLINIC LLC
Entity Type:Organization
Organization Name:SERENITY MENTAL HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARKO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZDILAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-406-8135
Mailing Address - Street 1:4502 RIVERSTONE BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5213
Mailing Address - Country:US
Mailing Address - Phone:832-510-0375
Mailing Address - Fax:
Practice Address - Street 1:4502 RIVERSTONE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5213
Practice Address - Country:US
Practice Address - Phone:832-510-0375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty