Serenity Wellness Llc
LBN: Serenity Wellness Llc
Serenity Wellness Llc is an health care organization with primary practice located at 3750 W Main St Ste Aa , Norman OK 73072-4645. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Serenity Wellness Llc can be contacted via phone (405) 790-0500, or through Quiambao, Benjamin via phone (405) 790-0500.
Contact Information
Primary practice address
3750 W Main St Ste Aa
Norman OK 73072-4645
Phone: (405) 790-0500
Fax: (405) 790-0501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 24708 | Oklahoma |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X |
Profile Details
| NPI number | 1598096794 |
|---|---|
| LBN Legal business name | Serenity Wellness Llc |
| DBA Doing business as | |
| Authorized official | Quiambao, Benjamin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 27th, 2010 |
| Last updated | Jan 9th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598096794 | NPPES |
| Oklahoma | MEDICAID | 200518650A | |
| Oklahoma | MEDICAID | 200693480A | |
| Oklahoma | MEDICAID | 100125890A | |
| Oklahoma | MEDICAID | 200238960A | |
| Oklahoma | MEDICAID | 200271930A |
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