1750094108 NPI number — SERENITY WELLNESS GROUP

Table of content: (NPI 1750094108)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750094108 NPI number — SERENITY WELLNESS GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SERENITY WELLNESS GROUP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750094108
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1718 GAME GARDEN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89031-4506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-715-4229
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5060 N 19TH AVE STE 406-9
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85015-3210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-692-7293
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/30/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SELBY BROUCHET
Authorized Official First Name:
KRISTINA
Authorized Official Middle Name:
D
Authorized Official Title or Position:
OFFICER
Authorized Official Telephone Number:
702-715-4229

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)