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General NPI Number Information
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NPI Number | 1811684731
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Entity Type | Organization
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Legal Business Name | SERENITY MHCS PLLC
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 1505 HIGHWAY 6 S STE 215
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City | HOUSTON
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State | TX
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Zip | 77077-1700
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Country | US
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Telephone | 928-256-5094
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Fax | 928-504-0152
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Provider Business Mailing Address
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Address Line | 3811 GOLDLEAF TRAIL DR
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City | KATY
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State | TX
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Zip | 77449-1661
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Country | US
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Telephone | 928-256-5094
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Fax | 928-504-0152
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SIDONIE B NGANKEU
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Credential | PMHNP-BC
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Telephone | 928-256-5094
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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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