SERENITY OUTPATIENT SERVICES, INC. (NPI# 1184669145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184669145 |
| Entity Type | Organization |
| Organization Name | SERENITY OUTPATIENT SERVICES, INC. |
| Other Organization Name | SOS, INC. |
| Practice Address |
4625 Alabama St Suite C El Paso TX 79930 |
| Mailing Address |
4625 Alabama St, Ste C El Paso TX 79930 |
| Practice Telephone | 9155662000 |
| Practice Fax Number | 9155662056 |
| Mailing Telephone | 9155662000 |
| Mailing Fax Number | 9155662056 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID J KRUZICH (CEO, OWNER) |
| Authorized Official Telephone | 9155662000 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
564-A | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SOS, Inc. | Other Name - Individual/Organization |
| Street Address |
4625 ALABAMA ST, SUITE C |
| City | EL PASO |
| State | TX |
| Zip Code | 79930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391947 | Bertha Alicia Carvallo | Foster Care Agency | 2725 Fillmore, El Paso, TX 79930 | 2018-09-26 |
| 1326445347 | Mojgan Kaveh-talley | Internal Medicine | 5100 North Piedras Street, El Paso, TX 79930 | 2014-11-20 |
| 1053683961 | Cpap Anywhere LLC | Durable Medical Equipment & Medical Supplies | 4625 Alabama St. Ste. B, El Paso, CA 79930 | 2012-02-08 |
| 1346552791 | Mountain Star Sleep Diagnostic, LLC | Clinical Medical Laboratory | 4625 Alambama, El Paso, TX 79930 | 2010-07-13 |
| 1467687293 | Amiilis Miranda Villalobos | Physical Therapist | 5001 N. Piedras Street, Va Healthcare System, El Paso, TX 79930 | 2009-05-22 |
| 1215058763 | Olanrewaju Bamidele Obisesan | Pharmacist | 5001 North Piedras, 116, El Paso, TX 79930 | 2007-04-03 |
| 1306947619 | Debra Motto | Internal Medicine | 5001 N. Piedras St, El Paso, TX 79930 | 2006-09-26 |
| 1023110467 | Teodoro Calabig Navarro | Urology | 5001 N.piedras St., El Pas, TX 79930 | 2006-09-05 |
| 1841278280 | Rebecca Mitchell | Psychologist | 5001 N. Piedras, El Paso Va, El Paso, TX 79930 | 2006-01-05 |
| 1508841016 | Evalt Ayerdi | Internal Medicine | 5005 N. Piedras, El Paso, TX 79930 | 2005-12-08 |
| Find all providers in zip 79930 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108660 | Borderland Rainbow Center | Clinic/Center | 2714 Wyoming Ave, El Paso, TX 79903-3928 | 2019-01-30 |
| 1851844179 | Institute for Mental Health, P.a. | Clinic/Center | 6633 N Mesa St Ste 103, El Paso, TX 79912-4422 | 2016-08-03 |
| 1285956136 | Michaele Johnson, LLC | Clinic/Center | 1699 Belvidere St, El Paso, TX 79912-2644 | 2010-02-19 |
| 1205904620 | New Beginnings Outpatient Services, Inc. | Clinic/Center | 6044 Gateway Blvd E, Ste 610, El Paso, TX 79905-2080 | 2006-12-01 |
| 1326358656 | Bls Counseling Services, Inc. | Clinic/Center | 6000 Welch Ave, Suite 15, El Paso, TX 79905-1898 | 2010-10-20 |
| 1336392968 | Gustavo Martinez | Clinic/Center | 814 Myrtle Ave, El Paso, TX 79901-1512 | 2008-10-28 |
| 1386760205 | El Paso Community Mhmr | Clinic/Center | 1600 Montana Ave, El Paso, TX 79902-5622 | 2007-03-22 |
| 1194856104 | Inspiring Solutions Counseling | Clinic/Center | 1514 N Zaragoza Rd, Suite A-4, El Paso, TX 79936-7905 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202461 | Browsnville Psychological Center, Pllc | Clinic/Center | 302 Lorenaly Dr Ste E, Brownsville, TX 78526-4332 | 2020-10-15 |
| 1891393542 | Inner Essence Therapy, Consulting and Diagnostic Pllc | Clinic/Center | 24414 Creekview Dr, Spring, TX 77389-3711 | 2020-10-14 |
| 1336746973 | Peace, Hope & Harmony, Inc. | Clinic/Center | 661 E Main St Ste 200-174, Midlothian, TX 76065-3340 | 2020-10-06 |
| 1720695331 | Perspectives Psychotherapies, Pllc | Clinic/Center | 8330 Meadow Rd Ste 200, Dallas, TX 75231-0314 | 2020-09-28 |
| 1154935476 | A Work of Heart Therapy, Pllc | Clinic/Center | 10650 Culebra Rd # 104-174, San Antonio, TX 78251-4949 | 2020-09-03 |
| 1144833625 | Mind Above Matter LLC | Clinic/Center | 5900 Hereford Dr, Fort Worth, TX 76179-3395 | 2020-08-25 |
| 1407469067 | Daybreak Wellness, Pllc | Clinic/Center | 1666 N Hampton Rd Ste 103, Desoto, TX 75115-2390 | 2020-08-24 |
| 1487263000 | Stay Young Mental Health & Wellness | Clinic/Center | 8209 Roughrider Dr Ste 210, Windcrest, TX 78239-2457 | 2020-07-29 |
| 1285242305 | Abide Counseling Pllc | Clinic/Center | 505 Church Ave Ste B, College Station, TX 77840-1336 | 2020-07-14 |
| 1275151912 | Inger Daniels Aprn | Clinic/Center | 1937 Texas Pkwy Ste A, Missouri City, TX 77489-3121 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.