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General NPI Number Information
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NPI Number | 1952291999
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Entity Type | Organization
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Legal Business Name | SERENITY MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 40 GROVE ST STE 335
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City | WELLESLEY
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State | MA
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Zip | 02482-7764
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Country | US
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Telephone | 504-957-5966
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Fax |
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Provider Business Mailing Address
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Address Line | 40 GROVE ST STE 335
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City | WELLESLEY
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State | MA
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Zip | 02482-7764
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Country | US
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Telephone | 504-957-5966
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SHIH YEE-MARIE TAN GIPSON
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Credential | MD
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Telephone | 504-957-5966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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