Provider Demographics
NPI:1346831070
Name:SERENITY PSYCHOTHERAPY
Entity Type:Organization
Organization Name:SERENITY PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:RASKIND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:267-538-1333
Mailing Address - Street 1:401 CHERRY HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1911
Mailing Address - Country:US
Mailing Address - Phone:267-538-1333
Mailing Address - Fax:267-538-1343
Practice Address - Street 1:301 OXFORD VALLEY RD STE 603A
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7712
Practice Address - Country:US
Practice Address - Phone:646-875-9602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)