Provider Demographics
NPI:1508326786
Name:SERENITY AND TRUTH LLC
Entity Type:Organization
Organization Name:SERENITY AND TRUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-613-5602
Mailing Address - Street 1:5005 LOSEE RD APT 3053
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-2509
Mailing Address - Country:US
Mailing Address - Phone:702-613-5602
Mailing Address - Fax:
Practice Address - Street 1:5005 LOSEE RD APT 3053
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-2509
Practice Address - Country:US
Practice Address - Phone:702-613-5602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health