Aag Serenity Servives, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

N-15914236 Issued in AZ

Legal business name

AAG SERENITY SERVIVES, LLC

Practice address

14708 W Lupine LN
Surprise, AZ 85374-9688

Phone

(623) 203-0696

NPI assigned

May 26, 2010

Last updated

Jul 24, 2013By 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

Mrs. Alison A Gamez, MA, NCC, LPC

Title

Owner, Manager, Clinical Director,

Phone

(623) 203-0696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1699094904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14708 W LUPINE LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749688",
            "telephone_number": "623-203-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14708 W LUPINE LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749688",
            "telephone_number": "623-203-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAG SERENITY SERVIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "GAMEZ",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, MANAGER, CLINICAL DIRECTOR,",
        "authorized_official_telephone_number": "623-203-0696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "N-15914236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.