Provider Demographics
NPI:1922809813
Name:SERENITY PLACE LLC
Entity type:Organization
Organization Name:SERENITY PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESMERALDA
Authorized Official - Middle Name:NATALY
Authorized Official - Last Name:AMAYA-ORDONEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-607-8062
Mailing Address - Street 1:801 ROUTE 1 # 1094
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2609
Mailing Address - Country:US
Mailing Address - Phone:732-607-8062
Mailing Address - Fax:
Practice Address - Street 1:33 SOUTH WOOD AVE SUITE 600
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830
Practice Address - Country:US
Practice Address - Phone:732-607-8062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty