Provider Demographics
NPI:1326857673
Name:SERENE SOLUTIONS HEALTH GROUP CORP
Entity type:Organization
Organization Name:SERENE SOLUTIONS HEALTH GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISSIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIPIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-325-0091
Mailing Address - Street 1:4180 SW 74TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4443
Mailing Address - Country:US
Mailing Address - Phone:786-432-0107
Mailing Address - Fax:
Practice Address - Street 1:4180 SW 74TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4443
Practice Address - Country:US
Practice Address - Phone:786-432-0107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)