Healthcare Provider Details

I. General information

NPI: 1801213293
Provider Name (Legal Business Name): SERNA SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2014
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 OFFICE COURT DR STE 201
SANTA FE NM
87507-4936
US

IV. Provider business mailing address

4001 OFFICE COURT DR STE 201
SANTA FE NM
87507-4936
US

V. Phone/Fax

Practice location:
  • Phone: 505-207-8929
  • Fax: 505-365-2902
Mailing address:
  • Phone: 505-660-5673
  • Fax: 505-428-0465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number93101
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0130451
License Number StateNM

VIII. Authorized Official

Name: SINAY ALVAREZ
Title or Position: LEAD OFFICE ADMINISTRATOR
Credential:
Phone: 505-207-8929