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General NPI Number Information
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NPI Number | 1255297081
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Entity Type | Organization
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Legal Business Name | SERENE MIND PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 201 160TH ST S STE 102
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City | SPANAWAY
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State | WA
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Zip | 98387-8508
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Country | US
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Telephone | 360-870-8536
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Fax |
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Provider Business Mailing Address
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Address Line | 16614 23RD AVENUE CT E
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City | TACOMA
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State | WA
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Zip | 98445-4535
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Country | US
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Telephone | 360-870-8536
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Fax |
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Authorized Official
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Title or Position | ARNP, PMHNP-BC
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Name | ALEXIS JOHNSON
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Credential | ARNP, PMHNP-BC
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Telephone | 253-320-0224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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