# SERENE HAVEN BEHAVIORAL CLINIC LLC

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

## Provider details

- **NPI number:** 1427838747
- **Authorized official:** OREDUNNI OGUNTODU (OWNER)
- **Authorized official phone:** (682) 553-8157

## Contact information

- **Practice address:** 4301 WATERFORD GLEN DR, MANSFIELD, TX 76063-9104
- **Practice address phone:** (469) 694-8001
- **Practice address fax:** (469) 613-4007
- **Mailing address:** 4301 WATERFORD GLEN DR, MANSFIELD, TX 76063-9104

## 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:** 10/03/2023
- **Last updated:** 10/03/2023