| Serenity Center Llc | |
|
703 S Elmer Ave Ste 116 Sayre PA 18840-2400 | |
| (570) 867-0771 | |
| Not Available |
| Full Name | Serenity Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 703 S Elmer Ave Ste 116, Sayre, Pennsylvania |
| Authorized Official Name and Position | Nicole P Mullen (EXECUTIVE OFFICER) |
| Authorized Official Contact | 5708670771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Center Llc 703 S Elmer Ave Ste 116 Sayre PA 18840-2400 Ph: (570) 867-0771 | Serenity Center Llc 703 S Elmer Ave Ste 116 Sayre PA 18840-2400 Ph: (570) 867-0771 |
| NPI Number | 1346036894 |
|---|---|
| Provider Enumeration Date | 04/18/2025 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Medicare PECOS PAC ID | 4688190747 |
|---|---|
| Medicare Enrollment ID | O20250501001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346036894 | NPI | - | NPPES |
| Provider Name | Nicole Pauline Mullen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841602448 PECOS PAC ID: 5597281659 Enrollment ID: I20250501001564 |
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