Provider Demographics
NPI:1417491077
Name:SERENITY INSTITUTE, INC.
Entity Type:Organization
Organization Name:SERENITY INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAHARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-671-7932
Mailing Address - Street 1:2609 SW 33RD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-7775
Mailing Address - Country:US
Mailing Address - Phone:352-671-7932
Mailing Address - Fax:352-237-8363
Practice Address - Street 1:2609 SW 33RD ST STE 101
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7775
Practice Address - Country:US
Practice Address - Phone:352-671-7932
Practice Address - Fax:352-237-8363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7820101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty