Serene Psychiatry Llc. | |
34406 N. 27th Dr. Office 103 Suite 140 Phoenix AZ 85085-6079 | |
(623) 688-1508 | |
(602) 698-9668 |
Full Name | Serene Psychiatry Llc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 34406 N. 27th Dr., Phoenix, Arizona |
Authorized Official Name and Position | Brian T Mccullough (OWNER) |
Authorized Official Contact | 6236881508 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serene Psychiatry Llc. 34406 N. 27th Dr. Office 103 Suite 140 Phoenix AZ 85085-6079 Ph: (623) 688-1508 | Serene Psychiatry Llc. 34406 N. 27th Dr. Office 103 Suite 140 Phoenix AZ 85085-6079 Ph: (623) 688-1508 |
NPI Number | 1568133510 |
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Provider Enumeration Date | 09/21/2021 |
Last Update Date | 09/21/2021 |
Certification Date | 09/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568133510 | NPI | - | NPPES |
MM5904998 | Other | AZ | PMHNP-BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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