| Serene Integrative Services, Llc | |
|
827 W Prairie Ave Hayden ID 83835-8459 | |
| (208) 719-7158 | |
| (208) 500-2508 |
| Full Name | Serene Integrative Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 827 W Prairie Ave, Hayden, Idaho |
| Authorized Official Name and Position | Catherine Michelle Strigotte (OWNER) |
| Authorized Official Contact | 2082155943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Integrative Services, Llc 827 W Prairie Ave Hayden ID 83835-8459 Ph: (208) 719-7158 | Serene Integrative Services, Llc 827 W Prairie Ave Hayden ID 83835-8459 Ph: (208) 719-7158 |
| NPI Number | 1366122806 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 5395285365 |
|---|---|
| Medicare Enrollment ID | O20240905003273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366122806 | NPI | - | NPPES |
| Provider Name | Johanna C Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851058549 PECOS PAC ID: 0840683769 Enrollment ID: I20220216002504 |
| Provider Name | Dana Kathleen Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972221893 PECOS PAC ID: 2365887031 Enrollment ID: I20240304003386 |
| Provider Name | Marissa Rae Abbott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780163436 PECOS PAC ID: 5890993745 Enrollment ID: I20241021002204 |
| Provider Name | Catherine Michelle Strigotte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013672534 PECOS PAC ID: 6204376270 Enrollment ID: I20241120004693 |
| Provider Name | Tabitha M Hood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992204754 PECOS PAC ID: 6507392917 Enrollment ID: I20241209003675 |
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