| Serenity Wellness | |
|
787 Hampden Ave Unit 423 Saint Paul MN 55114-2309 | |
| (651) 497-6593 | |
| Not Available |
| Full Name | Serenity Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 787 Hampden Ave Unit 423, Saint Paul, Minnesota |
| Authorized Official Name and Position | Shukri Bashir (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6514976593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Wellness 787 Hampden Ave Unit 423 Saint Paul MN 55114-2309 Ph: (651) 497-6593 | Serenity Wellness 787 Hampden Ave Unit 423 Saint Paul MN 55114-2309 Ph: (651) 497-6593 |
| NPI Number | 1851053698 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/08/2021 |
| Certification Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851053698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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