Provider Demographics
NPI:1790551869
Name:SERENE SERENITY PSYCHIATRY
Entity type:Organization
Organization Name:SERENE SERENITY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-979-2532
Mailing Address - Street 1:208 N 2ND AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2703
Mailing Address - Country:US
Mailing Address - Phone:804-979-2532
Mailing Address - Fax:804-294-5757
Practice Address - Street 1:208 N 2ND AVE STE 6
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2703
Practice Address - Country:US
Practice Address - Phone:804-979-2532
Practice Address - Fax:804-294-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty