Healthcare Provider Details

I. General information

NPI: 1740017656
Provider Name (Legal Business Name): SEEKING SERENITY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 KOHLER ST.
PICKERINGTON OH
43147
US

IV. Provider business mailing address

2321 TAYLOR PARK DR # 1013
REYNOLDSBURG OH
43068-8052
US

V. Phone/Fax

Practice location:
  • Phone: 614-260-8868
  • Fax:
Mailing address:
  • Phone: 614-260-8868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AWA NDIAYE
Title or Position: OWNER
Credential: PMHNP
Phone: 614-260-8868