MEDICARE: SERENISYNC MENTAL HEALTH

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1689472102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENISYNC MENTAL HEALTH

Provider Business Mailing Address
First Line	:	5350 W BELL RD STE 122-447
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-3906
Country	:	US
Telephone Number	:	623-259-4690
Fax Number	:

Provider Business Practice Location Address
First Line	:	5350 W BELL RD STE 122-447
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-3906
Country	:	US
Telephone Number	:	623-259-4690
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MS. MORGAN JACKSON
Credential	:
Telephone Number	:	623-377-5562

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/18/2025

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