Serenity Path LLC
Organization Active NPI Community/Behavioral Health Agency · Bloomfield, NM
NPI 1093651663 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1093651663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- SERENITY PATH LLC
- Practice address
- 18 Road 5198
Bloomfield, NM 87413-9713 - Phone
- (505) 289-0081
- NPI assigned
- Apr 27, 2026
- Organization subpart
- No
Authorized official
- Name
- Michelle Medina, LPCC
- Title
- Owner/Mental Health Clincian
- Phone
- (505) 289-0081
Practitioners 1
-
Michelle Medina, LMHC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
18 Road 5198
Bloomfield, NM 87413-9713
Mailing address
18 Road 5198
Bloomfield, NM 87413-9713
Phone (505) 289-0081
Other providers in Bloomfield, NM
- Chelsea Romero
- Sadie L Smith-McDaniel
- Melissa Marie Sam
- San Juan Regional Medical Center Inc
- Seth Brian Schreffler
- Ashley Q Seyfarth
- Silverstone Healthcare of Bloomfield, LLC
- Janet Lynn Simmons
- Taylor Dawn Simmons
- Sadie L Smith-McDaniel
All providers in Bloomfield, NM · Community/Behavioral Health Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.