Provider Demographics
NPI:1922885995
Name:SERENITY HEALTH PLLC
Entity Type:Organization
Organization Name:SERENITY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEGBORIOYE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:507-629-0598
Mailing Address - Street 1:9800 CENTRE PKWY STE 245
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-0001
Mailing Address - Country:US
Mailing Address - Phone:281-935-3502
Mailing Address - Fax:877-903-8431
Practice Address - Street 1:9800 CENTRE PKWY STE 245
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-0001
Practice Address - Country:US
Practice Address - Phone:281-935-3502
Practice Address - Fax:877-903-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty