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General NPI Number Information
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NPI Number | 1003599895
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Entity Type | Organization
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Legal Business Name | SERENITY MENTAL HEALTH
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 315 N WASHINGTON AVE STE 203
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City | COOKEVILLE
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State | TN
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Zip | 38501-2660
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Country | US
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Telephone | 931-272-8988
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Fax | 931-266-4559
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Provider Business Mailing Address
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Address Line | 315 N WASHINGTON AVE STE 203
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City | COOKEVILLE
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State | TN
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Zip | 38501-2660
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Country | US
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Telephone | 931-272-8988
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MELYNIE CAGLE
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Credential | DNP, APRN
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Telephone | 931-272-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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