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General NPI Number Information
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NPI Number | 1992641591
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Entity Type | Organization
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Legal Business Name | THE SERENE PLACE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1316 MINNESOTA WAY
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-6060
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Country | US
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Telephone | 202-702-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 MINNESOTA WAY
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-6060
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Country | US
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Telephone | 202-702-6789
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ATOLA NNENNA IDIKA
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Credential | IDIKA
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Telephone | 202-702-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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