Provider Demographics
NPI:1063226850
Name:SERENITY PARLOR
Entity type:Organization
Organization Name:SERENITY PARLOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-840-7717
Mailing Address - Street 1:2300 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-1887
Mailing Address - Country:US
Mailing Address - Phone:785-840-7717
Mailing Address - Fax:785-706-5611
Practice Address - Street 1:2300 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-1887
Practice Address - Country:US
Practice Address - Phone:785-840-7717
Practice Address - Fax:785-706-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Multi-Specialty