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General NPI Number Information
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NPI Number | 1194665166
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Entity Type | Organization
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Legal Business Name | SERENE MENTAL HEALTH CENTER LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 2817 ANTHONY LN S STE 200
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-2490
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Country | US
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Telephone | 651-332-3817
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Fax | 218-484-7773
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Provider Business Mailing Address
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Address Line | 3182 CLEVELAND AVE N
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City | ARDEN HILLS
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State | MN
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Zip | 55112-3505
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Country | US
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Telephone | 651-332-3817
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Fax | 218-484-7773
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. JOHN IKECHUKWU NWABUGWU
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Credential | PMHNP-BC
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Telephone | 651-332-3817
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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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