# SERENE WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013645712
- **Authorized official:** COURTNEY TAFOYA PMHNP (OWNER)
- **Authorized official phone:** (623) 323-2448

## Contact information

- **Practice address:** 10000 N 31ST AVE STE D304B, PHOENIX, AZ 85051-9582
- **Practice address phone:** (623) 323-2448
- **Practice address fax:** (623) 666-6348
- **Mailing address:** 544 S 172ND AVE, GOODYEAR, AZ 85338-1281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2022
- **Last updated:** 01/17/2024
