Organization
SERENITY WELLNESS CENTER OF LAS VEGAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORINE HAYNES (PARTNER)
(702) 443-5335
Entity
Organization
Contact information
Practice address
3097 E WARM SPRINGS RD, LAS VEGAS, NV 89120
(702) 444-0454
Mailing address
3097 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3756
(702) 444-0454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093227159
—
NC
05
—
1114266194
—
NV
Enumeration date
09/19/2018
Last updated
11/02/2019
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