SERENITY BEHAVIORAL HEALTH & WELLNESS LLC

Provider Demographics

• NPI: 1750999546
• Name: SERENITY BEHAVIORAL HEALTH & WELLNESS LLC
• Entity type: Organization
• Organization Name: SERENITY BEHAVIORAL HEALTH & WELLNESS LLC
• Authorized Official - Title/Position: OWNER/PSYCHOLOGIST
• Authorized Official - Prefix: DR
• Authorized Official - First Name: JENNIFER
• Authorized Official - Last Name: BERTSCH
• Authorized Official - Credentials: PSYD, LP
• Authorized Official - Phone: 559-999-1639
• Mailing Address - Street 1: 6375 W 143RD ST
• Mailing Address - City: SAVAGE
• Mailing Address - State: MN
• Mailing Address - Zip Code: 55378-2888
• Mailing Address - Country: US
• Mailing Address - Phone: 952-592-2200
• Mailing Address - Fax: 952-592-2201
• Practice Address - Street 1: 6375 W 143RD ST
• Practice Address - City: SAVAGE
• Practice Address - State: MN
• Practice Address - Zip Code: 55378-2888
• Practice Address - Country: US
• Practice Address - Phone: 952-592-2200
• Practice Address - Fax: 952-592-2201
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2020-07-17
• Last Update Date: 2024-11-13

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	103TA0400X	Behavioral Health & Social Service Providers	Psychologist	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	103TA0700X	Behavioral Health & Social Service Providers	Psychologist	Adult Development & Aging	Group - Multi-Specialty
No	103TB0200X	Behavioral Health & Social Service Providers	Psychologist	Cognitive & Behavioral	Group - Multi-Specialty
No	103TC1900X	Behavioral Health & Social Service Providers	Psychologist	Counseling	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TF0200X	Behavioral Health & Social Service Providers	Psychologist	Forensic	Group - Multi-Specialty
No	103TH0004X	Behavioral Health & Social Service Providers	Psychologist	Health	Group - Multi-Specialty
No	103TM1800X	Behavioral Health & Social Service Providers	Psychologist	Intellectual & Developmental Disabilities	Group - Multi-Specialty
No	103TP2701X	Behavioral Health & Social Service Providers	Psychologist	Group Psychotherapy	Group - Multi-Specialty
No	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center	Adult Mental Health	Group - Multi-Specialty
No	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center	Adolescent and Children Mental Health
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty