# SERENITY PSYCHIATRY AND WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1932928256
- **Authorized official:** MR. PAVEL ODINTSOV NP (MANAGER)
- **Authorized official phone:** (201) 665-4150

## Contact information

- **Practice address:** 156 DOLSON AVE STE 11, MIDDLETOWN, NY 10940-6560
- **Practice address phone:** (458) 360-2500
- **Mailing address:** 297 HILLSDALE AVE, HILLSDALE, NJ 07642-2212
- **Mailing address phone:** (201) 665-4150

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2024
- **Last updated:** 10/03/2024
