Healthcare Provider Details
I. General information
NPI: 1235094137
Provider Name (Legal Business Name): SERENITY HEALTH MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
752 BARTHOLDI ST
BRONX NY
10467-6208
US
IV. Provider business mailing address
752 BARTHOLDI ST
BRONX NY
10467-6208
US
V. Phone/Fax
- Phone: 914-704-4062
- Fax:
- Phone: 914-704-4062
- Fax:
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: MISS
LINDA
ORJI
Title or Position: PROVIDER
Credential: NP-PMHNP
Phone: 914-704-4062