Provider Demographics
NPI:1700528361
Name:SERENITY LLC
Entity type:Organization
Organization Name:SERENITY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-846-2447
Mailing Address - Street 1:602 S ATWOOD RD STE 001
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4323
Mailing Address - Country:US
Mailing Address - Phone:443-846-8447
Mailing Address - Fax:
Practice Address - Street 1:602 S ATWOOD RD
Practice Address - Street 2:STE 001
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4323
Practice Address - Country:US
Practice Address - Phone:443-846-8447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty