Healthcare Provider Details

I. General information

NPI: 1184541377
Provider Name (Legal Business Name): SERENE PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MAIN ST
MEEKER CO
81641-3341
US

IV. Provider business mailing address

660 3RD ST
MEEKER CO
81641-3159
US

V. Phone/Fax

Practice location:
  • Phone: 970-270-0185
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MAKALA SHERIDAN SMITH
Title or Position: OWNER/NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 970-270-0185