Organization
SERENITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALYN C FULTON LCPC LCADC (OWNER)
(410) 585-7227
Entity
Organization
Contact information
Practice address
4920 BELAIR RD STE 1B, BALTIMORE, MD 21206-5601
(443) 310-6806
Mailing address
4920 BELAIR RD, BALTIMORE, MD 21206-5601
(410) 585-7227
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2527
—
MD
Enumeration date
12/07/2021
Last updated
04/01/2024
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