Healthcare Provider Details

I. General information

NPI: 1548106776
Provider Name (Legal Business Name): SERENITYPSYCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11373 SW 211TH ST
MIAMI FL
33189-2245
US

IV. Provider business mailing address

30105 SW 152ND CT
HOMESTEAD FL
33033-3609
US

V. Phone/Fax

Practice location:
  • Phone: 786-481-3928
  • Fax:
Mailing address:
  • Phone: 786-481-3928
  • 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: ROCIO REYES ECHEMENDIA
Title or Position: OWNER
Credential:
Phone: 786-481-3928