Healthcare Provider Details

I. General information

NPI: 1932964061
Provider Name (Legal Business Name): SERENA GARNETT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N FRANKLIN TPKE APT 9
RAMSEY NJ
07446-1641
US

IV. Provider business mailing address

115 N FRANKLIN TPKE APT 9
RAMSEY NJ
07446-1641
US

V. Phone/Fax

Practice location:
  • Phone: 570-832-5382
  • Fax:
Mailing address:
  • Phone: 570-832-5382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number37PC01301700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: