Provider Demographics
NPI:1598582058
Name:SERENITY HEALTH, LLC
Entity type:Organization
Organization Name:SERENITY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIGID
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KIRLIN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:463-240-1670
Mailing Address - Street 1:1980 E 116TH ST STE 315
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3517
Mailing Address - Country:US
Mailing Address - Phone:463-240-1670
Mailing Address - Fax:463-464-3576
Practice Address - Street 1:1980 E 116TH ST STE 315
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3517
Practice Address - Country:US
Practice Address - Phone:463-240-1670
Practice Address - Fax:463-464-3576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty