| Serenity Wellness Center | |
|
3750 W Main St Ste Aa Norman OK 73072-4645 | |
| (405) 790-0500 | |
| (405) 790-0501 |
| Full Name | Serenity Wellness Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3750 W Main St Ste Aa, Norman, Oklahoma |
| Authorized Official Name and Position | Benjamin Quiambao (PSYCHIATRIST) |
| Authorized Official Contact | 4057900500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Wellness Center Po Box 6708 Moore OK 73153-0708 Ph: (405) 790-0500 | Serenity Wellness Center 3750 W Main St Ste Aa Norman OK 73072-4645 Ph: (405) 790-0500 |
| NPI Number | 1093094310 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093094310 | NPI | - | NPPES |
| 200238960A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 24708 (Oklahoma) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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