NPI 1467086603 · live from the CMS NPI Registry
Abundant Serenity LLC
Social Worker, Clinical in Meridian, ID. National Provider Identifier 1467086603, active.
NPI record
| NPI | 1467086603 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 925 N Main St Ste A, Meridian, ID 83642 |
| Practice phone | 208-918-0380 |
| Enumerated | February 26, 2020 |
| Last updated | February 26, 2020 |
| Authorized official | Wendy Perez, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.