# ROYAL SERENITY HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1912897083
- **Authorized official:** MRS. DANIELLE LASHAWN RUSSELL (APRN MSN FNP-BC PMHNP-BC)
- **Authorized official phone:** (239) 271-8280

## Contact information

- **Practice address:** 10573 CROSSBACK LN, LEHIGH ACRES, FL 33936-6682
- **Practice address phone:** (239) 402-7439
- **Practice address fax:** (239) 230-2964
- **Mailing address:** 10573 CROSSBACK LN, LEHIGH ACRES, FL 33936-6682
- **Mailing address phone:** (239) 402-7439
- **Mailing address fax:** (239) 230-2964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2025
- **Last updated:** 07/08/2025