Healthcare Provider Details
I. General information
NPI: 1689597056
Provider Name (Legal Business Name): SERENITY HEALTH POINT CO.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
198 SHEPARD AVE
TEANECK NJ
07666-6118
US
IV. Provider business mailing address
155 WILLOWBROOK BLVD STE 110
WAYNE NJ
07470-7033
US
V. Phone/Fax
- Phone: 551-245-8537
- Fax: 201-979-7922
- Phone: 551-245-8537
- Fax: 201-979-7922
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRACY
KIMBERLY
MORRIS
Title or Position: OWNER / PSYCHIATRIC MENTAL HEALTH N
Credential: PMHNP-BC
Phone: 551-245-8537