Provider Demographics
NPI:1154169563
Name:SERENITY HILLS MEDICAL & WELLNESS CENTER LLC
Entity type:Organization
Organization Name:SERENITY HILLS MEDICAL & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RESHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARILAL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CMHP, CRRA
Authorized Official - Phone:561-932-4665
Mailing Address - Street 1:2215 N MILITARY TRL STE K
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2901
Mailing Address - Country:US
Mailing Address - Phone:561-932-4665
Mailing Address - Fax:561-328-3932
Practice Address - Street 1:2215 N MILITARY TRL STE K
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2901
Practice Address - Country:US
Practice Address - Phone:561-932-4665
Practice Address - Fax:561-328-3932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty