Provider Demographics
NPI:1992571673
Name:SERENITY MH CLINIC
Entity type:Organization
Organization Name:SERENITY MH CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MS
Authorized Official - First Name:AHOU
Authorized Official - Middle Name:BERTHE
Authorized Official - Last Name:ARTERBURN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:913-620-2990
Mailing Address - Street 1:2011 E CROSSROADS LN STE 302
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1657
Mailing Address - Country:US
Mailing Address - Phone:913-620-2990
Mailing Address - Fax:
Practice Address - Street 1:2011 E CROSSROADS LN STE 3022011E
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1674
Practice Address - Country:US
Practice Address - Phone:913-620-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty