Healthcare Provider Details

I. General information

NPI: 1033817929
Provider Name (Legal Business Name): SERENITY HEALTH TELEPSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 STELLA DR
SINKING SPRING PA
19608-9069
US

IV. Provider business mailing address

55 STELLA DR
SINKING SPRING PA
19608-9069
US

V. Phone/Fax

Practice location:
  • Phone: 919-703-1400
  • Fax: 610-655-5267
Mailing address:
  • Phone: 919-703-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. HERIBERTO SIERRA
Title or Position: CO-OWNER/PROVIDER
Credential: PMHNP-BC
Phone: 610-442-1065