Provider Demographics
NPI:1477383156
Name:SERENITY SOLUTIONS
Entity type:Organization
Organization Name:SERENITY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JEFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:LISW, LMHP
Authorized Official - Phone:402-312-9550
Mailing Address - Street 1:5404 S 161ST ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-2956
Mailing Address - Country:US
Mailing Address - Phone:402-312-9550
Mailing Address - Fax:
Practice Address - Street 1:5404 S 161ST ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-2956
Practice Address - Country:US
Practice Address - Phone:402-312-9550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health