| Serenity Wellness Llc | |
|
3750 W Main St Ste Aa Norman OK 73072-4645 | |
| (405) 790-0500 | |
| (405) 790-0501 |
| Full Name | Serenity Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3750 W Main St Ste Aa, Norman, Oklahoma |
| Authorized Official Name and Position | Benjamin Quiambao (CEO) |
| Authorized Official Contact | 4057900500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Wellness Llc Po Box 6708 Moore OK 73153-0708 Ph: (405) 790-0500 | Serenity Wellness Llc 3750 W Main St Ste Aa Norman OK 73072-4645 Ph: (405) 790-0500 |
| NPI Number | 1598096794 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/28/2024 |
| Medicare PECOS PAC ID | 3072790823 |
|---|---|
| Medicare Enrollment ID | O20110606000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598096794 | NPI | - | NPPES |
| 200518650A | Medicaid | OK | |
| 200693480A | Medicaid | OK | |
| 100125890A | Medicaid | OK | |
| 200238960A | Medicaid | OK | |
| 200271930A | Medicaid | OK |
| Provider Name | Benjamin Quiambao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770796336 PECOS PAC ID: 6709912413 Enrollment ID: I20100406000414 |
J Carrick Carter Psyd Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 24th Ave Nw, Ste 100, Norman, OK 73069 Phone: 405-801-2840 Fax: 405-310-4520 | |
Maranda Greenfield, Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1809 Oakmeadows Dr, Norman, OK 73071 Phone: 405-863-1194 | |
Debra Petry Smith, M.a., Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Mcgee Dr Ste 108, Norman, OK 73072 Phone: 918-894-2745 | |
Crossroads Youth And Family Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 W Tecumseh Rd, 500, Norman, OK 73069 Phone: 405-321-0240 | |
Micheline Witjenburg Psyd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Main St, Suite 102, Norman, OK 73069 Phone: 405-292-1000 Fax: 405-310-4052 | |
Family Wellness Center Of Norman Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2760 Washington Dr Ste 110, Norman, OK 73069 Phone: 405-360-2827 Fax: 405-283-1124 | |
Spectrum My Way Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3351 Santa Rosa Ct, Norman, OK 73071 Phone: 405-204-2065 |