Provider Demographics
NPI:1659067205
Name:SERENITY INTEGRATIVE PSYCHIATRIC CARE INC
Entity Type:Organization
Organization Name:SERENITY INTEGRATIVE PSYCHIATRIC CARE INC
Other - Org Name:CHRISTINA HADLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-651-6817
Mailing Address - Street 1:6012 N 102ND ST UNIT 34507
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-1239
Mailing Address - Country:US
Mailing Address - Phone:402-651-6817
Mailing Address - Fax:
Practice Address - Street 1:11422 MIRACLE HILLS DR STE 401
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4420
Practice Address - Country:US
Practice Address - Phone:402-651-6817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health