MEDICARE: SERENITY AND TRUTH 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1508326786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY AND TRUTH LLC

Provider Business Mailing Address
First Line	:	5005 LOSEE RD APT 3053
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89081-2509
Country	:	US
Telephone Number	:	702-613-5602
Fax Number	:

Provider Business Practice Location Address
First Line	:	5005 LOSEE RD APT 3053
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89081-2509
Country	:	US
Telephone Number	:	702-613-5602
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SARA MEHRHOFF
Credential	:
Telephone Number	:	702-613-5602

Provider Enumeration Date	:	03/22/2019
Last Update Date	:	03/22/2019

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Directions to “SERENITY AND TRUTH LLC ” Practice Location

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