Organization
SERENITY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHUKRI BASHIR MA, LPC (CO-EXECUTIVE DIRECTOR)
(651) 497-6593
Entity
Organization
Contact information
Practice address
787 HAMPDEN AVE UNIT 423, SAINT PAUL, MN 55114-2309
(651) 497-6593
Mailing address
787 HAMPDEN AVE UNIT 423, SAINT PAUL, MN 55114-2309
(651) 497-6593
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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