Organization
SERENITY INTEGRATED PRACTICE SIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARSICIO GACHERU CNP (CEO)
(146) 531-6583
Entity
Organization
Contact information
Practice address
700 BRYDEN RD # 122, COLUMBUS, OH 43215-4839
(146) 787-5183
Mailing address
5719 LAURA LN, HILLIARD, OH 43026-7339
(614) 961-7639
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/12/2023
Last updated
09/05/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up