Healthcare Provider Details

I. General information

NPI: 1154287597
Provider Name (Legal Business Name): SERENE HORIZONS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 MINERAL SPRING AVE STE 201
NORTH PROVIDENCE RI
02904-4025
US

IV. Provider business mailing address

1800 MENDON RD STE 505
CUMBERLAND RI
02864-4391
US

V. Phone/Fax

Practice location:
  • Phone: 401-400-2471
  • Fax:
Mailing address:
  • Phone: 401-400-2471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JESSICA LIMA GARCIA
Title or Position: BEHAVIORAL HEALTH CLINICIAN
Credential: LICSW
Phone: 401-400-2471