Provider Demographics
NPI:1154860153
Name:SERENUS SENIOR CARE ADVISORS PLLC
Entity Type:Organization
Organization Name:SERENUS SENIOR CARE ADVISORS PLLC
Other - Org Name:SERENUS NEUROPSYCHIATRY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SNEED
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MSN, APRN
Authorized Official - Phone:256-284-1320
Mailing Address - Street 1:158 HEATHROW DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-1570
Mailing Address - Country:US
Mailing Address - Phone:256-284-1320
Mailing Address - Fax:256-320-1496
Practice Address - Street 1:158 HEATHROW DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35633-1570
Practice Address - Country:US
Practice Address - Phone:256-284-1320
Practice Address - Fax:256-320-1496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty