MEDICARE: HARPAL SERENITY WELLNESS, 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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1477424851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARPAL SERENITY WELLNESS, LLC

Provider Business Mailing Address
First Line	:	1653 E 75TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-4111
Country	:	US
Telephone Number	:	216-780-1911
Fax Number	:

Provider Business Practice Location Address
First Line	:	17325 EUCLID AVE STE 2110
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1255
Country	:	US
Telephone Number	:	216-780-1911
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENNIFER WOODARD
Credential	:
Telephone Number	:	216-780-1911

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

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