| Serene Life Services Llc | |
|
13820 N 51st Ave Glendale AZ 85306-4885 | |
| (602) 686-9075 | |
| Not Available |
| Full Name | Serene Life Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13820 N 51st Ave, Glendale, Arizona |
| Authorized Official Name and Position | Daniel Olsen (OWNER) |
| Authorized Official Contact | 6234404358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Life Services Llc 7800 N 55th Ave # 102-203 Glendale AZ 85301-1321 Ph: (623) 440-4358 | Serene Life Services Llc 13820 N 51st Ave Glendale AZ 85306-4885 Ph: (602) 686-9075 |
| NPI Number | 1184362196 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 02/23/2023 |
| Certification Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184362196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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