Provider Demographics
NPI:1861181000
Name:SERENE HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:SERENE HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:RHONDA
Authorized Official - Last Name:POCHE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:504-782-0541
Mailing Address - Street 1:3295 E CAUSEWAY APPROACH
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-3451
Mailing Address - Country:US
Mailing Address - Phone:985-237-1130
Mailing Address - Fax:
Practice Address - Street 1:3295 E CAUSEWAY APPROACH
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-3451
Practice Address - Country:US
Practice Address - Phone:985-237-1130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty