Healthcare Provider Details

I. General information

NPI: 1730946401
Provider Name (Legal Business Name): SERENE MENTAL HEALTH CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 2ND AVE STE A
KEARNEY NE
68847-8115
US

IV. Provider business mailing address

3615 2ND AVE STE A
KEARNEY NE
68847-8115
US

V. Phone/Fax

Practice location:
  • Phone: 308-233-3847
  • Fax: 308-233-5921
Mailing address:
  • Phone: 308-233-3847
  • Fax: 308-233-5921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH GIERHAN
Title or Position: OWNER
Credential: APRN
Phone: 308-233-3847