Organization Active NPI

Serene Roots Therapy

  • Social Worker
  • Dexter, MI
National Provider Identifier
1194514554
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SERENE ROOTS THERAPY
Practice address
6724 Ralaric Dr
Dexter, MI 48130-9689
Phone
(734) 489-9777
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Mary Grace LauverNPI 1962718270
Title
Owner
Phone
(734) 489-9777

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

6724 Ralaric Dr
Dexter, MI 48130-9689

Mailing address

6724 Ralaric Dr
Dexter, MI 48130-9689

National Provider Directory

National Provider Directory

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": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1194514554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 RALARIC DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 RALARIC DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309689",
            "telephone_number": "734-489-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE ROOTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "LAUVER",
        "authorized_official_first_name": "MARY GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-489-9777"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.