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General NPI Number Information
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NPI Number | 1114852548
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Entity Type | Organization
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Legal Business Name | SERENE THERAPY LLC
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 7465 W LAKE MEAD BLVD STE 225
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City | LAS VEGAS
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State | NV
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Zip | 89128-1033
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Country | US
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Telephone | 702-518-6608
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Fax |
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Provider Business Mailing Address
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Address Line | 4528 STARDUSK FALLS AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-4723
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Country | US
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Telephone | 702-518-6608
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | IRMA DE SANTIAGO
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Credential | LMFT
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Telephone | 702-518-6608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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