MEDICARE: SERENADA MENTAL HEALTH PLLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1851181358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENADA MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	2951 FM 1460 UNIT 1602
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-7423
Country	:	US
Telephone Number	:	512-612-9441
Fax Number	:	512-650-4420

Provider Business Practice Location Address
First Line	:	2951 FM 1460 UNIT 1602
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-7423
Country	:	US
Telephone Number	:	512-612-9441
Fax Number	:	512-650-4420

Authorized Official
Title or Position	:	OWNER
Name	:	TABITHA ROSS
Credential	:
Telephone Number	:	512-612-9441

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	01/31/2026

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