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Organization
SERENITY PSYCHIATRIC CARE LLC
Active
Organization
SERENITY PSYCHIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABELLE M DUBOIS PMHNP (SOLE MEMBER / PROVIDER)
(337) 523-6482
Entity
Organization
Contact information
Practice address
5520 JOHNSTON ST STE K, PMB 1205, LAFAYETTE, LA 70503
(337) 523-6482
Mailing address
10904 HARGROVE RD, ABBEVILLE, LA 70510-6328
(337) 523-6482
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234219
APRN-CNP PROFESSIONAL LICENSE
LA
Enumeration date
04/04/2024
Last updated
04/04/2024
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