# PURE SERENITY MENTAL WELLNESS LLC

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

## Provider details

- **NPI number:** 1811861511
- **Authorized official:** MICHAELLE VALCOURT (CREDENTIALING)
- **Authorized official phone:** (005) 457-5707

## Contact information

- **Practice address:** 1489 W PALMETTO PARK RD, BOCA RATON, FL 33486-3325
- **Practice address phone:** (941) 281-4038
- **Mailing address:** 9955 NW 49TH PL, CORAL SPRINGS, FL 33076-2472
- **Mailing address phone:** (941) 281-4038

## 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:** 10/03/2025
- **Last updated:** 10/03/2025