Provider Demographics
NPI:1073394003
Name:SERENITY VALLEY BEHAVIORAL WELLNESS, PLLC
Entity Type:Organization
Organization Name:SERENITY VALLEY BEHAVIORAL WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCALLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:956-306-8703
Mailing Address - Street 1:4309 N 10TH ST STE F2
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3059
Mailing Address - Country:US
Mailing Address - Phone:956-306-8703
Mailing Address - Fax:325-222-0562
Practice Address - Street 1:4309 N 10TH ST STE F2
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3059
Practice Address - Country:US
Practice Address - Phone:956-306-8703
Practice Address - Fax:325-222-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty