Organization
COMPLETE SERENITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA HARRIS (CREDENTIALING SPECIALIST)
(713) 970-1093
Entity
Organization
Contact information
Practice address
2006 BROADWAY ST STE 101, PEARLAND, TX 77581-5559
(832) 779-8521
Mailing address
2906 CONCORD KNOLL DR, PEARLAND, TX 77581-4791
(832) 779-8521
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
08/31/2020
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