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General NPI Number Information
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NPI Number | 1851181358
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Entity Type | Organization
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Legal Business Name | SERENADA MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 2951 FM 1460 UNIT 1602
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City | GEORGETOWN
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State | TX
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Zip | 78626-7423
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Country | US
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Telephone | 512-612-9441
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Fax | 512-650-4420
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Provider Business Mailing Address
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Address Line | 2951 FM 1460 UNIT 1602
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City | GEORGETOWN
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State | TX
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Zip | 78626-7423
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Country | US
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Telephone | 512-612-9441
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Fax | 512-650-4420
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Authorized Official
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Title or Position | OWNER
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Name | TABITHA ROSS
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Credential |
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Telephone | 512-612-9441
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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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