| Serenity Mental Health Center, Llc | |
|
15 S Poplar St Unit 218 Glassboro NJ 08028-3607 | |
| (856) 347-2066 | |
| Not Available |
| Full Name | Serenity Mental Health Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 S Poplar St Unit 218, Glassboro, New Jersey |
| Authorized Official Name and Position | Brandon Freeman (THERAPIST) |
| Authorized Official Contact | 8563472066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Mental Health Center, Llc 15 S Poplar St Unit 218 Glassboro NJ 08028-3607 Ph: (856) 347-2066 | Serenity Mental Health Center, Llc 15 S Poplar St Unit 218 Glassboro NJ 08028-3607 Ph: (856) 347-2066 |
| NPI Number | 1083440283 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 7416482898 |
|---|---|
| Medicare Enrollment ID | O20241121002957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083440283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Brandon Freeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275014888 PECOS PAC ID: 3173960721 Enrollment ID: I20240319002489 |
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