Provider Demographics
NPI:1609466937
Name:ROSE SERENITY WELLNESS CENTER INC
Entity Type:Organization
Organization Name:ROSE SERENITY WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:GUERLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SERAPHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:786-318-8915
Mailing Address - Street 1:725 N HIGHWAY A1A STE A104
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4561
Mailing Address - Country:US
Mailing Address - Phone:786-318-8915
Mailing Address - Fax:561-214-4028
Practice Address - Street 1:725 N HIGHWAY A1A STE A104
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4561
Practice Address - Country:US
Practice Address - Phone:786-318-8915
Practice Address - Fax:561-214-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2023-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health