MEDICARE: JV SERENITY MASS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1093408171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JV SERENITY MASS LLC

Provider Business Mailing Address
First Line	:	PO BOX 31296
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33631-3296
Country	:	US
Telephone Number	:	855-219-1877
Fax Number	:	954-337-6238

Provider Business Practice Location Address
First Line	:	61 BROWN ST
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-6750
Country	:	US
Telephone Number	:	855-219-1877
Fax Number	:	954-337-6238

Authorized Official
Title or Position	:	CEO
Name	:	DR. DEJA GILBERT
Credential	:	PHD, LMHC, LPC
Telephone Number	:	855-219-1877

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	09/13/2023

Similar Medicare Providers

1457202327 — MISS LEAH ROTHCHILD APRN
Practice Location Address:

61 BROWN ST
HAVERHILL, MA
01830-6750

Practice Phone: 978-312-9830
Practice Fax:

1639692213 — SARA J CORREIA
Practice Location Address:

61 BROWN ST
HAVERHILL, MA
01830-6750

Practice Phone: 978-641-3001
Practice Fax:

1366966780 — JOHN DAVID POWELL I
Practice Location Address:

61 BROWN ST
HAVERHILL, MA
01830-6750

Practice Phone: 978-641-3001
Practice Fax:

1497575500 — NORA FABRIS LADC I
Practice Location Address:

61 BROWN ST
HAVERHILL, MA
01830-6750

Practice Phone: 978-308-2606
Practice Fax:

1013919125 — STEVEN P. BLOOM M.D.
Practice Location Address:

1 PARKWAY
HAVERHILL, MA
01830-6278

Practice Phone: 978-521-3230
Practice Fax: 978-521-3256

1154323251 — PAULA BOULANGER M.D.
Practice Location Address:

1 PARKWAY
HAVERHILL, MA
01830-6278

Practice Phone: 978-521-3230
Practice Fax: 978-521-3256

Directions to “JV SERENITY MASS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.