MEDICARE: SERENE MINDS 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1720942196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENE MINDS WELLNESS LLC

Provider Business Mailing Address
First Line	:	580 LEXINGTON GREEN LN FL USA
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1026
Country	:	US
Telephone Number	:	407-693-7055
Fax Number	:	407-574-5533

Provider Business Practice Location Address
First Line	:	580 LEXINGTON GREEN LN
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1026
Country	:	US
Telephone Number	:	407-693-7055
Fax Number	:	407-574-5533

Authorized Official
Title or Position	:	PMHNP-BC
Name	:	PATIENCE AMUNE
Credential	:	APRN
Telephone Number	:	407-693-7055

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/12/2025

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Directions to “SERENE MINDS WELLNESS LLC ” Practice Location

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