Provider Demographics
NPI:1326857038
Name:SERENITY CITRINE LLC
Entity type:Organization
Organization Name:SERENITY CITRINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:D'WENDOLYN
Authorized Official - Middle Name:I
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:504-300-5865
Mailing Address - Street 1:22 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6729
Mailing Address - Country:US
Mailing Address - Phone:504-300-5865
Mailing Address - Fax:
Practice Address - Street 1:22 HERITAGE LN
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6729
Practice Address - Country:US
Practice Address - Phone:504-300-5865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty