Active NPI
Serenity Health and Consultation LLC
- Clinical Social Worker
- Brenham, TX
National Provider Identifier
1235919325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SERENITY HEALTH AND CONSULTATION LLC
- Practice address
- 206 W First St Ste D
Brenham, TX 77833-3604 - Phone
- (281) 702-3353
- Fax
- (281) 215-3949
- NPI assigned
- Oct 5, 2023
- Last updated
- Oct 5, 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
- Theresa Fawvor, LCSW
- Title
- Owner/LCSW
- Phone
- (281) 702-3353
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
206 W First St Ste D
Brenham, TX 77833-3604
Mailing address
300 Cedar Oaks Dr
Brenham, TX 77833-6387
Phone (281) 702-3353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
206 W First St
Ste D
Brenham, TX 77833
Phone (281) 702-3353
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Houston, TX
- NPI 1932563764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1235919325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CEDAR OAKS DR",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778336387",
"telephone_number": "281-702-3353",
"fax_number": "281-215-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W FIRST ST STE D",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778333604",
"telephone_number": "281-702-3353",
"fax_number": "281-215-3949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HEALTH AND CONSULTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "FAWVOR",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "OWNER/LCSW",
"authorized_official_telephone_number": "281-702-3353",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brenham, TX
- Scott & White Hospital Brenham
- Scott & White Hospital Brenham (Baylor Scott & White Medical Center - Brenham)
- Scott & White Hospital Brenham
- Select Physical Therapy Texas Limited Partnership (Select Physical Therapy)
- Serena Speaker Otr PC
- Serenity Medical Billing Services LLC
- Serenity Passionate Homecare LLC
- Saru Sharma, DDS
- Sumeet Sharma, D.M.D
- Andrew Shea, PT, DPT, CSCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.