Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Exercise & Sports |
103TE1100X | 62 | Psychologist, Clinical | |
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X |
| NPI # | 1144188145 |
| LBN Legal business name | SENCERE WELLNESS LLC |
| Authorized official | JAMAL VANCE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/10/2026 |
| Last updated | 01/12/2026 - About 5 months ago |
| Identifiers | n/a |
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