# SERENITY PSYCHIATRIC CARE LLC

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

## Provider details

- **NPI number:** 1790537579
- **Authorized official:** MS. ISABELLE M DUBOIS PMHNP (SOLE MEMBER / PROVIDER)
- **Authorized official phone:** (337) 523-6482

## Contact information

- **Practice address:** 5520 JOHNSTON ST STE K, PMB 1205, LAFAYETTE, LA 70503
- **Practice address phone:** (337) 523-6482
- **Mailing address:** 10904 HARGROVE RD, ABBEVILLE, LA 70510-6328
- **Mailing address phone:** (337) 523-6482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2024
- **Last updated:** 04/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 234219 | APRN-CNP PROFESSIONAL LICENSE | LA |