# YOUR SERENINTI LLC

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

## Provider details

- **NPI number:** 1720617335
- **Authorized official:** JULINE ALLEN (MGR)
- **Authorized official phone:** (321) 414-2248

## Contact information

- **Practice address:** 601 21ST ST STE 300, VERO BEACH, FL 32960-0860
- **Practice address phone:** (321) 414-2248
- **Mailing address:** 3425 BAYSIDE LAKES BLVD SE STE 103, PALM BAY, FL 32909-6867
- **Mailing address phone:** (321) 414-2248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 04/06/2020
- **Last updated:** 04/16/2020