MEDICARE: SERENITY & STRENGTH RECOVERY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1124826359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY & STRENGTH RECOVERY INC

Provider Business Mailing Address
First Line	:	720 N LOUISE ST APT 303
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-2021
Country	:	US
Telephone Number	:	818-748-5390
Fax Number	:

Provider Business Practice Location Address
First Line	:	1612 W GLENOAKS BLVD STE G
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1814
Country	:	US
Telephone Number	:	818-748-5390
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SEVADA WALTER AKHAYAN
Credential	:
Telephone Number	:	818-748-5390

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	04/09/2025

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