Healthcare Provider Details

I. General information

NPI: 1215802954
Provider Name (Legal Business Name): SERENE PATH MENTAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 GOOSE LN
GUILFORD CT
06437-2100
US

IV. Provider business mailing address

157 GOOSE LN STE 2
GUILFORD CT
06437-2100
US

V. Phone/Fax

Practice location:
  • Phone: 203-701-8726
  • Fax: 860-957-2478
Mailing address:
  • Phone: 203-701-8726
  • Fax: 860-957-2478

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: CRISTINA PEREIRA
Title or Position: CEO
Credential: APRN, PMHNP
Phone: 203-701-8736