Active NPI
Serenity Behavioral Health LLC
- Mental Health Counselor
- Clarksville, TN
National Provider Identifier
1033815873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Anne Dai'Re, LPC-MHSP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Clarksville, TN
- NPI 1891442653
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.