| Serenity Path Llc | |
|
18 Road 5198 Bloomfield NM 87413-9713 | |
| (505) 289-0081 | |
| Not Available |
| Full Name | Serenity Path Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18 Road 5198, Bloomfield, New Mexico |
| Authorized Official Name and Position | Michelle Medina (OWNER/MENTAL HEALTH CLINCIAN) |
| Authorized Official Contact | 5052890081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Path Llc 18 Road 5198 Bloomfield NM 87413-9713 Ph: (505) 289-0081 | Serenity Path Llc 18 Road 5198 Bloomfield NM 87413-9713 Ph: (505) 289-0081 |
| NPI Number | 1093651663 |
|---|---|
| Provider Enumeration Date | 04/27/2026 |
| Last Update Date | 04/27/2026 |
| Certification Date | 04/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093651663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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