Organization
SERENITY PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MEDINA LPCC (OWNER/MENTAL HEALTH CLINCIAN)
(505) 289-0081
Entity
Organization
Contact information
Practice address
18 ROAD 5198, BLOOMFIELD, NM 87413-9713
(505) 289-0081
Mailing address
18 ROAD 5198, BLOOMFIELD, NM 87413-9713
(505) 289-0081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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