Provider Demographics
NPI:1659182871
Name:A SERENE MIND LLC
Entity type:Organization
Organization Name:A SERENE MIND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:772-206-0386
Mailing Address - Street 1:1257 SW MARTIN HWY # 1031
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-3375
Mailing Address - Country:US
Mailing Address - Phone:772-206-0386
Mailing Address - Fax:
Practice Address - Street 1:1257 SW MARTIN HWY # 1031
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-3375
Practice Address - Country:US
Practice Address - Phone:772-206-0386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty