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NPI Code Detail

MEDICARE: SERENE THERAPY LLC

MEDICARE: SERENE THERAPY 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1114852548
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENE THERAPY LLC
Provider Business Mailing Address
First Line : 4528 STARDUSK FALLS AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-4723
Country : US
Telephone Number : 702-518-6608
Fax Number :
Provider Business Practice Location Address
First Line : 7465 W LAKE MEAD BLVD STE 225
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-1033
Country : US
Telephone Number : 702-518-6608
Fax Number :
Authorized Official
Title or Position : LMFT
Name : IRMA DE SANTIAGO
Credential : LMFT
Telephone Number : 702-518-6608
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “SERENE THERAPY 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.

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