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General NPI Number Information
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NPI Number | 1730992736
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Entity Type | Organization
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Legal Business Name | SERENITY TMS & WELLNESS PLLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 425 W WASHINGTON ST
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City | SUFFOLK
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State | VA
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Zip | 23434-5320
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Country | US
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Telephone | 469-915-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W WASHINGTON ST STE 4
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City | SUFFOLK
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State | VA
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Zip | 23434-5320
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Country | US
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Telephone | 757-644-0208
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | TENIKA TROTTER
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Credential |
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Telephone | 469-915-4211
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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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