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General NPI Number Information
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NPI Number | 1447184387
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Entity Type | Organization
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Legal Business Name | SERENITY PATHWAYS TO INDEPENDENCE, INC.
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 3514 OAKHILL DR
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City | TEXARKANA
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State | AR
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Zip | 71854-2504
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Country | US
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Telephone | 903-296-1845
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 NICHOLS DR APT 268
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City | TEXARKANA
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State | TX
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Zip | 75503-3481
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Country | US
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Telephone | 903-296-1845
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & INCORPORATOR
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Name | CANDY LEE
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Credential | CNA
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Telephone | 903-296-1845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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