NPIMap

Organization Active NPI

Serenity and Grace Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1245190529
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENITY AND GRACE HEALTHCARE LLC
Practice address
1734 Maryland Ave
Baltimore, MD 21201-5804
Phone
(347) 456-4647
NPI assigned
Nov 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SERENITY AND GRACE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
John Lee
Title
Ceo
Phone
(347) 456-4647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1734 Maryland Ave
Baltimore, MD 21201-5804

Mailing address

110 W Mulberry St Ste 400
Baltimore, MD 21201-3606
Phone (347) 456-4647

National Provider Directory

National Provider Directory
Tax ID family
Serenity and Grace Healthcare LLC3 organizations share this tax ID, including this one
Part of
Serenity and Grace Healthcare LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1763337600000",
    "number": "1245190529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W MULBERRY ST STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013606",
            "telephone_number": "347-456-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015804",
            "telephone_number": "347-456-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY AND GRACE HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY AND GRACE HEALTHCARE LLC",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-456-4647"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.