Organization
TRINA L. GREENWALD LLC
Active
Other names
Serenity Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA L GREENWALD FNP-C, PMHNP-BC (OWNER/PRACTITIONER)
(765) 664-8000
Entity
Organization
Contact information
Practice address
515 N BRADNER AVE, MARION, IN 46952-2449
(765) 664-8000
(877) 731-2066
Mailing address
515 N BRADNER AVE, MARION, IN 46952-2449
(765) 664-8000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71002182A
IN
364S00000X
Clinical Nurse Specialist
28084011A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200844580
—
IN
Enumeration date
11/26/2012
Last updated
11/24/2014
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