Serenity Wellness Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SERENITY WELLNESS CENTER LLC

Practice address

1405 Lilac Dr N
Golden Valley, MN 55422-4535

Phone

(612) 636-9498

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Abdikhadar Dahir

Title

Ceo

Phone

(612) 636-9498

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1326828823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 UNIVERSITY AVE NE APT 303",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184356",
            "telephone_number": "612-636-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "612-636-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "DAHIR",
        "authorized_official_first_name": "ABDIKHADAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-636-9498"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mary Schumack, LICSW
• Constance Joan Schweigert, MSW, LICSW
• Andy Secor, DC
• Rosalie Irene Seevers, PTA
• Sequence Health LLC
• Steven Severson, LICSW
• Constance S Shaffer, OTR L
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• Megan Elizabeth Shaw, LMFT, LADC

• Adult Mental Health Clinic/Center in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.