Organization Active NPI

Serenity Behavioral Health LLC

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1033815873
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERENITY BEHAVIORAL HEALTH LLC
Practice address
1860 Wilma Rudolph Blvd Ste 111B
Clarksville, TN 37040-6750
Phone
(615) 398-2123
Fax
(931) 233-4544
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Anne Dai'Re, LPC-MHSPNPI 1891442653
Title
Owner-Clinician
Phone
(615) 398-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1860 Wilma Rudolph Blvd Ste 111B
Clarksville, TN 37040-6750

Mailing address

1860 Wilma Rudolph Blvd Ste 111B
Clarksville, TN 37040-6750
Phone (615) 398-2123

National Provider Directory

National Provider Directory

Locations

1860 Wilma Rudolph Blvd
Ste 111B
Clarksville, TN 37040
Phone (615) 398-2123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1033815873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 WILMA RUDOLPH BLVD STE 111B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406750",
            "telephone_number": "615-398-2123",
            "fax_number": "931-233-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 WILMA RUDOLPH BLVD STE 111B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406750",
            "telephone_number": "615-398-2123",
            "fax_number": "931-233-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "DAI'RE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER-CLINICIAN",
        "authorized_official_telephone_number": "615-398-2123",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.