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General NPI Number Information
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NPI Number | 1154790467
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Entity Type | Organization
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Legal Business Name | SERENITY BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 09/16/2015
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Last Update Date | 09/16/2015
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Provider Practice Location Address
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Address Line | 6699 CHIMNEY ROCK RD SUITE 201
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City | HOUSTON
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State | TX
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Zip | 77081-5358
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Country | US
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Telephone | 832-530-4352
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Fax | 832-530-4364
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Provider Business Mailing Address
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Address Line | 6699 CHIMNEY ROCK RD SUITE 201
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City | HOUSTON
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State | TX
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Zip | 77081-5358
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Country | US
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Telephone | 832-530-4352
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Fax | 832-530-4364
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JENNIFER YEN
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Credential |
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Telephone | 832-530-4352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0016X
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Taxonomy Name | Prescribing (Medical) Psychologist
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License Number | N0572
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License Number State | TX
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