Serenity Path LLC
Community/Behavioral Health in Bloomfield, NM. Organization (NPI-2).
NPI number1093651663
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1093651663
- Entity type
- Organization (NPI-2)
- Legal business name
- Serenity Path LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2026
- Certification date
- Apr 24, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
18 Road 5198Bloomfield, NM 87413-9713
Phone 505-289-0081
Mailing address
18 Road 5198Bloomfield, NM 87413-9713
Phone 505-289-0081
Authorized official
Michelle Medina
Owner/Mental Health Clincian
5052890081
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Behavioral Health Agency providers in Bloomfield, NM
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.