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General NPI Number Information
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NPI Number | 1922809813
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Entity Type | Organization
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Legal Business Name | SERENITY PLACE LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 33 SOUTH WOOD AVE SUITE 600
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City | ISELIN
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State | NJ
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Zip | 08830
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Country | US
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Telephone | 732-607-8062
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Fax |
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Provider Business Mailing Address
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Address Line | 801 ROUTE 1 # 1094
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City | ISELIN
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State | NJ
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Zip | 08830-2609
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Country | US
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Telephone | 732-607-8062
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. ESMERALDA NATALY AMAYA-ORDONEZ
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Credential | LPC
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Telephone | 732-607-8062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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