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NPI 1366122806

NPI 1366122806 : SERENE INTEGRATIVE SERVICES, LLC : POST FALLS, ID

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General NPI Number Information
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    NPI Number           |    1366122806
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    Entity Type          |    Organization 
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    Legal Business Name  |    SERENE INTEGRATIVE SERVICES, LLC 
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Dates
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    Enumeration Date     |    07/19/2023
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    Last Update Date     |    06/30/2025
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Provider Practice Location Address
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    Address Line         |    1616 E SELTICE WAY 
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    City                 |    POST FALLS
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    State                |    ID
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    Zip                  |    83854-7007
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    Country              |    US
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    Telephone            |    208-719-7158
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    Fax                  |    208-500-2508
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Provider Business Mailing Address
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    Address Line         |    1616 E SELTICE WAY 
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    City                 |    POST FALLS
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    State                |    ID
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    Zip                  |    83854-7007
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    Country              |    US
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    Telephone            |    208-719-7158
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    Fax                  |    208-500-2508
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CATHERINE MICHELLE STRIGOTTE 
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    Credential           |    LPC
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    Telephone            |    208-215-5943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    364SP0810X
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    Taxonomy Name        |    Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    405300000X
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    Taxonomy Name        |    Prevention Professional
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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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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Taxonomy #9
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    Taxonomy Code        |    364SP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    163WP0807X
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    Taxonomy Name        |    Child & Adolescent Psychiatric/Mental Health Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #11
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #12
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    Taxonomy Code        |    175T00000X
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    Taxonomy Name        |    Peer Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #13
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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