Serene Life Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SERENE LIFE SERVICES LLC

Practice address

13820 N 51St Ave
Glendale, AZ 85306-4885

Phone

(602) 686-9075

NPI assigned

May 20, 2022

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel Olsen

Title

Owner

Phone

(623) 440-4358

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1184362196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N 55TH AVE # 102-203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011321",
            "telephone_number": "623-440-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064885",
            "telephone_number": "602-686-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2023-02-23",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-440-4358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Sepper, P.T.
• Salome Sequeira, RBT
• Jason Serbus, ATC
• Sara Serbus, FNP-C
• Marianne Helena Serbyn, OD
• Gavin Serene, ATC
• Serenisync Mental Health
• Serenity Preserved Counseling PLLC
• Kayci Serino, IDMT
• Maralina Serio, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.