MEDICARE: SERENITY MCMAHAND

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1477496321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SERENITY MCMAHAND

Provider Business Mailing Address
First Line	:	5101 OLD MAIN ST APT 432
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23231-3014
Country	:	US
Telephone Number	:	804-939-1930
Fax Number	:

Provider Business Practice Location Address
First Line	:	10106 KRAUSE RD
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-6572
Country	:	US
Telephone Number	:	804-306-8909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ SERENITY MCMAHAND ” Practice Location

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