| The Serene Shield, Llc | |
|
1021 Lee Road 201 Salem AL 36874-4161 | |
| (804) 691-7624 | |
| Not Available |
| Full Name | The Serene Shield, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1021 Lee Road 201, Salem, Alabama |
| Authorized Official Name and Position | Michelle Shields (OWNER) |
| Authorized Official Contact | 8046917624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Serene Shield, Llc 1021 Lee Road 201 Salem AL 36874-4161 Ph: (804) 691-7624 | The Serene Shield, Llc 1021 Lee Road 201 Salem AL 36874-4161 Ph: (804) 691-7624 |
| NPI Number | 1477131068 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477131068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |