Healthcare Provider Details

I. General information

NPI: 1275205346
Provider Name (Legal Business Name): SERENITY PSYCHIATRIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 WHITE HORSE PIKE STE 8
BARRINGTON NJ
08007-1322
US

IV. Provider business mailing address

208 WHITE HORSE PIKE STE 8
BARRINGTON NJ
08007-1322
US

V. Phone/Fax

Practice location:
  • Phone: 856-474-2896
  • Fax: 856-281-9582
Mailing address:
  • Phone: 856-474-2896
  • Fax: 856-281-9582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. APRIL CHRISTINE STONE
Title or Position: ADVANCE PRACTICE NURSE (APN)
Credential: MSN, APN, PMHNP-BC
Phone: 856-474-2896