Provider Demographics
NPI:1285290692
Name:SERENITY MENTAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:SERENITY MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:SERENE
Authorized Official - Last Name:GOLEMI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:920-248-0578
Mailing Address - Street 1:818 WEST STREET
Mailing Address - Street 2:SUITE 814
Mailing Address - City:WATERTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53094-3723
Mailing Address - Country:US
Mailing Address - Phone:920-545-4357
Mailing Address - Fax:920-390-4272
Practice Address - Street 1:818 WEST STREET
Practice Address - Street 2:SUITE 814
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53094-3723
Practice Address - Country:US
Practice Address - Phone:920-545-4357
Practice Address - Fax:920-390-4272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty