The New Serenity LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10D2099194 Issued in FL

Legal business name

THE NEW SERENITY LLC

Practice address

9193 Delemar CT
Wellington, FL 33414-3421

Phone

(561) 290-3987

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Bradley Vercosa

Title

Ceo

Phone

(561) 290-3987

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1255716007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9193 DELEMAR CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143421",
            "telephone_number": "561-290-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9193 DELEMAR CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143421",
            "telephone_number": "561-290-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW SERENITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "VERCOSA",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-290-3987"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "10D2099194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Wellington, FL
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• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.