Healthcare Provider Details

I. General information

NPI: 1518812064
Provider Name (Legal Business Name): SERENITY THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1546 BARTON RD
UNION NJ
07083-6325
US

IV. Provider business mailing address

1546 BARTON RD
UNION NJ
07083-6325
US

V. Phone/Fax

Practice location:
  • Phone: 718-619-3555
  • Fax:
Mailing address:
  • Phone: 718-619-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. PAULA LISA BARDALES
Title or Position: OWNER & CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 718-619-3555