Healthcare Provider Details

I. General information

NPI: 1659067205
Provider Name (Legal Business Name): SERENITY INTEGRATIVE PSYCHIATRIC CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S 17TH ST STE 238
OMAHA NE
68102-2040
US

IV. Provider business mailing address

319 S 17TH ST STE 238
OMAHA NE
68102-2040
US

V. Phone/Fax

Practice location:
  • Phone: 402-819-7915
  • Fax: 862-263-9115
Mailing address:
  • Phone: 402-819-7915
  • Fax: 862-263-9115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTINA NICOLE HADLEY
Title or Position: PMHNP
Credential: APRN
Phone: 402-651-6817