Provider Demographics
NPI:1255172805
Name:SERENEPATHWAYS LLC
Entity type:Organization
Organization Name:SERENEPATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAYED
Authorized Official - Middle Name:ALAM
Authorized Official - Last Name:SHINWARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:202-330-2882
Mailing Address - Street 1:14364 CHALFONT DR
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-2631
Mailing Address - Country:US
Mailing Address - Phone:202-330-2882
Mailing Address - Fax:
Practice Address - Street 1:14364 CHALFONT DR
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-2631
Practice Address - Country:US
Practice Address - Phone:202-330-2882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health