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General NPI Number Information
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NPI Number | 1033817929
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTH TELEPSYCHIATRY LLC
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 55 STELLA DR
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City | SINKING SPRING
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State | PA
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Zip | 19608-9069
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Country | US
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Telephone | 919-703-1400
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Fax | 610-655-5267
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Provider Business Mailing Address
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Address Line | 55 STELLA DR
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City | SINKING SPRING
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State | PA
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Zip | 19608-9069
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Country | US
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Telephone | 919-703-1400
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/PROVIDER
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Name | MR. HERIBERTO SIERRA
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Credential | PMHNP-BC
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Telephone | 610-442-1065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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