Healthcare Provider Details

I. General information

NPI: 1336838853
Provider Name (Legal Business Name): SEEK SERENITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9580 BARLETTA WINDS PT
DELRAY BEACH FL
33446-9706
US

IV. Provider business mailing address

9580 BARLETTA WINDS PT
DELRAY BEACH FL
33446-9706
US

V. Phone/Fax

Practice location:
  • Phone: 973-405-3897
  • Fax:
Mailing address:
  • Phone: 973-405-3897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JEANNINA RUIZ
Title or Position: PRESIDENT
Credential: LPC, LMHC
Phone: 973-405-3897