Organization Active NPI

The Serenity Passage LLC

  • Adult Mental Health Clinic/Center
  • Humble, TX
National Provider Identifier
1174483440
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THE SERENITY PASSAGE LLC
Practice address
1202 1St St E Unit 1561
Humble, TX 77347-7075
Phone
(346) 347-6011
NPI assigned
Nov 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Nicosha Hall
Title
Owner
Phone
(346) 347-6011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1202 1St St E Unit 1561
Humble, TX 77347-7075

Mailing address

1202 1St St E Unit 1561
Humble, TX 77347-7075
Phone (346) 347-6011

National Provider Directory

National Provider Directory

Locations

1202 1st St E
Unit 1561
Humble, TX 77347
Phone (346) 347-6011

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": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1174483440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 1ST ST E UNIT 1561",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773477075",
            "telephone_number": "346-347-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 1ST ST E UNIT 1561",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773477075",
            "telephone_number": "346-347-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SERENITY PASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "NICOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-347-6011"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.