Provider Demographics
NPI:1508342536
Name:SERENITY BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:SERENITY BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:SERENITY HEALTH NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOCOVIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WHIPPLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:786-601-9007
Mailing Address - Street 1:PO BOX 901246
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33090-1246
Mailing Address - Country:US
Mailing Address - Phone:786-601-9007
Mailing Address - Fax:786-272-0463
Practice Address - Street 1:6475 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4843
Practice Address - Country:US
Practice Address - Phone:786-492-9978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase ManagementGroup - Single Specialty