Serene Mind Psychology

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12679 Issued in FL

Legal business name

SERENE MIND PSYCHOLOGY

Practice address

4100 W Kennedy Blvd Ste 326
Tampa, FL 33609-2257

Phone

(813) 419-3629

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Moir, MA, CRC, LMHC

Title

Owner

Phone

(813) 419-3629

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1275935470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 326",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092257",
            "telephone_number": "813-419-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 326",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092257",
            "telephone_number": "813-419-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE MIND PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "MOIR",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-419-3629",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CRC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anton Serafini, M.D.
• Erini S, Serag, PHARMD
• Andrew Anthony Serdiuk, DO
• Serendipia Therapy LLC
• Serene Home Health, Inc
• Serenity & Therapy, LLC
• Serenity Community Care Inc.
• Serenity Community Care Inc.
• Serenity Community Mental Health Center, LLC
• Serenity Home of Tampa Alf LLC

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.