Healthcare Provider Details

I. General information

NPI: 1992594626
Provider Name (Legal Business Name): SERNA SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 ODO PO
SANTA FE NM
87506-7265
US

IV. Provider business mailing address

3201 ZAFARANO DR STE C
SANTA FE NM
87507-2672
US

V. Phone/Fax

Practice location:
  • Phone: 505-370-7499
  • Fax:
Mailing address:
  • Phone: 505-207-8929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DONNA PRATT
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 505-207-8929