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NPI 1548106776

NPI 1548106776 : SERENITYPSYCH LLC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1548106776
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    Entity Type          |    Organization 
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    Legal Business Name  |    SERENITYPSYCH LLC 
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Dates
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    Enumeration Date     |    04/28/2026
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    Last Update Date     |    04/28/2026
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Provider Practice Location Address
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    Address Line         |    11373 SW 211TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33189-2245
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    Country              |    US
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    Telephone            |    786-481-3928
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30105 SW 152ND CT 
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    City                 |    HOMESTEAD
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    State                |    FL
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    Zip                  |    33033-3609
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    Country              |    US
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    Telephone            |    786-481-3928
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ROCIO  REYES ECHEMENDIA 
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    Credential           |    
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    Telephone            |    786-481-3928
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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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