| Serene Minds Mental Health Pllc | |
|
4819 Emperor Blvd Ste 400 Durham NC 27703-5420 | |
| (919) 646-6563 | |
| Not Available |
| Full Name | Serene Minds Mental Health Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4819 Emperor Blvd Ste 400, Durham, North Carolina |
| Authorized Official Name and Position | Ajith Abraham (PMHNP-BC) |
| Authorized Official Contact | 9196466563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Minds Mental Health Pllc 4819 Emperor Blvd Ste 400 Durham NC 27703-5420 Ph: (919) 646-6563 | Serene Minds Mental Health Pllc 4819 Emperor Blvd Ste 400 Durham NC 27703-5420 Ph: (919) 646-6563 |
| NPI Number | 1912785452 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 06/25/2026 |
| Certification Date | 06/25/2026 |
| Medicare PECOS PAC ID | 6002254398 |
|---|---|
| Medicare Enrollment ID | O20240405000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912785452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Ajith Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053983098 PECOS PAC ID: 6204218142 Enrollment ID: I20220809001432 |
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