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General NPI Number Information
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NPI Number | 1912864307
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Entity Type | Organization
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Legal Business Name | SERENITY INTEGRATIVE WELLNESS CENTER LLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 225 NEW JERSEY 35 SUITE 206
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-723-7311
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Fax | 732-802-3976
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Provider Business Mailing Address
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Address Line | 3140 ROUTE 35 # 1026
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City | HAZLET
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State | NJ
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Zip | 07730-1520
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Country | US
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Telephone | 732-723-7311
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Fax | 732-802-3976
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Authorized Official
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Title or Position | OWNER
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Name | MR. HARVEY D. COTTRELL II
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Credential | LCSW, LICSW
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Telephone | 732-723-7311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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