| Serenity Psychiatric Care Llc | |
|
5520 Johnston St Ste K Pmb 1205 Lafayette LA 70503 | |
| (337) 523-6482 | |
| Not Available |
| Full Name | Serenity Psychiatric Care Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5520 Johnston St Ste K, Lafayette, Louisiana |
| Authorized Official Name and Position | Isabelle M Dubois (SOLE MEMBER / PROVIDER) |
| Authorized Official Contact | 3375236482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Psychiatric Care Llc 10904 Hargrove Rd Abbeville LA 70510-6328 Ph: (337) 523-6482 | Serenity Psychiatric Care Llc 5520 Johnston St Ste K Pmb 1205 Lafayette LA 70503 Ph: (337) 523-6482 |
| NPI Number | 1790537579 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790537579 | NPI | - | NPPES |
| 234219 | Other | LA | APRN-CNP PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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