Healthcare Provider Details

I. General information

NPI: 1710492095
Provider Name (Legal Business Name): SERENITY TMS CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 N TRIUMPH BLVD STE 500
LEHI UT
84043-6475
US

IV. Provider business mailing address

3300 N TRIUMPH BLVD STE 500
LEHI UT
84043-6475
US

V. Phone/Fax

Practice location:
  • Phone: 801-821-2781
  • Fax: 801-901-1194
Mailing address:
  • Phone: 801-821-2781
  • Fax: 801-901-1194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: TEEJAY GRANT TRIPP
Title or Position: CHIEF MEDICAL OFFICER
Credential: DO
Phone: 480-471-8560