| Serenity One Behavioral Health Care | |
|
2801 S Valley View Blvd Ste 11 Las Vegas NV 89102-0176 | |
| (702) 629-5815 | |
| (725) 629-5815 |
| Full Name | Serenity One Behavioral Health Care |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2801 S Valley View Blvd Ste 11, Las Vegas, Nevada |
| Authorized Official Name and Position | Bridget Espy (OWNER) |
| Authorized Official Contact | 7026295815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity One Behavioral Health Care 2801 S Valley View Blvd Ste 11 Las Vegas NV 89102-0176 Ph: (702) 629-5815 | Serenity One Behavioral Health Care 2801 S Valley View Blvd Ste 11 Las Vegas NV 89102-0176 Ph: (702) 629-5815 |
| NPI Number | 1265959209 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 11/20/2018 |
| Medicare PECOS PAC ID | 7416386792 |
|---|---|
| Medicare Enrollment ID | O20200408000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265959209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joan Israel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891714697 PECOS PAC ID: 2668498569 Enrollment ID: I20051020000252 |
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