| The Serenity Passage Llc | |
|
1202 1st St E Unit 1561 Humble TX 77347-7075 | |
| (346) 347-6011 | |
| Not Available |
| Full Name | The Serenity Passage Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1202 1st St E Unit 1561, Humble, Texas |
| Authorized Official Name and Position | Nicosha Hall (OWNER) |
| Authorized Official Contact | 3463476011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Serenity Passage Llc 1202 1st St E Unit 1561 Humble TX 77347-7075 Ph: (346) 347-6011 | The Serenity Passage Llc 1202 1st St E Unit 1561 Humble TX 77347-7075 Ph: (346) 347-6011 |
| NPI Number | 1174483440 |
|---|---|
| Provider Enumeration Date | 11/17/2025 |
| Last Update Date | 12/03/2025 |
| Certification Date | 12/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174483440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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