Provider Demographics
NPI:1477376226
Name:SERENITY PSYCHIATRY
Entity type:Organization
Organization Name:SERENITY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D'ARTHANA
Authorized Official - Middle Name:LORENZO
Authorized Official - Last Name:BURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:954-560-1703
Mailing Address - Street 1:8701 W MCNAB RD APT 201
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-3257
Mailing Address - Country:US
Mailing Address - Phone:954-205-3731
Mailing Address - Fax:954-800-7911
Practice Address - Street 1:5840 RED BUG LAKE RD
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5011
Practice Address - Country:US
Practice Address - Phone:954-205-3731
Practice Address - Fax:954-800-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty