Healthcare Provider Details

I. General information

NPI: 1255172805
Provider Name (Legal Business Name): SERENEPATHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14364 CHALFONT DR
HAYMARKET VA
20169-2631
US

IV. Provider business mailing address

14364 CHALFONT DR
HAYMARKET VA
20169-2631
US

V. Phone/Fax

Practice location:
  • Phone: 202-330-2882
  • Fax:
Mailing address:
  • Phone: 202-330-2882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAYED ALAM SHINWARI
Title or Position: PRESIDENT & OWNER
Credential: MD, MPH
Phone: 202-330-2882