Provider Demographics
| NPI: | 1366122806 |
|---|---|
| Name: | SERENE INTEGRATIVE SERVICES, LLC |
| Entity type: | Organization |
| Organization Name: | SERENE INTEGRATIVE SERVICES, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CATHERINE |
| Authorized Official - Middle Name: | MICHELLE |
| Authorized Official - Last Name: | STRIGOTTE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LPC |
| Authorized Official - Phone: | 208-215-5943 |
| Mailing Address - Street 1: | 1616 E SELTICE WAY |
| Mailing Address - Street 2: | |
| Mailing Address - City: | POST FALLS |
| Mailing Address - State: | ID |
| Mailing Address - Zip Code: | 83854-7007 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 208-719-7158 |
| Mailing Address - Fax: | 208-500-2508 |
| Practice Address - Street 1: | 1616 E SELTICE WAY |
| Practice Address - Street 2: | |
| Practice Address - City: | POST FALLS |
| Practice Address - State: | ID |
| Practice Address - Zip Code: | 83854-7007 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 208-719-7158 |
| Practice Address - Fax: | 208-500-2508 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-07-19 |
| Last Update Date: | 2025-06-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
| No | 364SP0810X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health, Child & Family | Group - Multi-Specialty |
| No | 405300000X | Other Service Providers | Prevention Professional | Group - Multi-Specialty | |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
| No | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | Group - Multi-Specialty | |
| No | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | Group - Multi-Specialty | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | Group - Multi-Specialty |
| No | 364SP0808X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psychiatric/Mental Health | Group - Multi-Specialty |
| No | 163WP0807X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health, Child & Adolescent | Group - Multi-Specialty |
| No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
| No | 175T00000X | Other Service Providers | Peer Specialist | Group - Multi-Specialty |