Healthcare Provider Details

I. General information

NPI: 1366375941
Provider Name (Legal Business Name): SERENITY PATH PSYCHIATRY & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 N CICERO AVE STE 309
CHICAGO IL
60646-5719
US

IV. Provider business mailing address

2333 W LUNT AVE APT 201
CHICAGO IL
60645-4729
US

V. Phone/Fax

Practice location:
  • Phone: 773-800-5066
  • Fax:
Mailing address:
  • Phone: 773-800-5066
  • Fax: 773-800-5066

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: LORETTA ARMSTRONG
Title or Position: DIRECTOR
Credential: APRN, PMHNP-BC, FPA
Phone: 773-800-5066