Provider Demographics
NPI:1417354051
Name:SERISE, INC
Entity Type:Organization
Organization Name:SERISE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:REDCAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW, BCD
Authorized Official - Phone:717-480-0585
Mailing Address - Street 1:342 N QUEEN ST STE D
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3072
Mailing Address - Country:US
Mailing Address - Phone:717-480-0585
Mailing Address - Fax:
Practice Address - Street 1:342 N QUEEN ST STE D
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3072
Practice Address - Country:US
Practice Address - Phone:717-480-0585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health