Serenity Renewed Holistic Wellness Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SERENITY RENEWED HOLISTIC WELLNESS CENTER LLC

Practice address

2567 Homeview Dr
Richmond, VA 23294-1700

Phone

(804) 214-7770

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Diamond Harris, LMTNPI 1194338046

Title

Massage Therapist

Phone

(804) 214-7770

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Diamond Harris, LMT

  • Massage Therapist
  • Richmond, VA
  • NPI 1194338046
  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1164048112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 HOMEVIEW DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232941700",
            "telephone_number": "804-214-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 HOMEVIEW DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232941700",
            "telephone_number": "804-214-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RENEWED HOLISTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DIAMOND",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "804-214-7770",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Freda Sergi, CTRS
• Karissa Encabo Serio, DPT

• Health Service Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.