Organization Active NPI

Sweet Serenity Behavioral Health and Life Coaching LLC

  • Mental Health Counselor
  • Southfield, MI
National Provider Identifier
1245942275
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SWEET SERENITY BEHAVIORAL HEALTH AND LIFE COACHING LLC
Practice address
24225 W 9 Mile Rd Ste 3099
Southfield, MI 48033-3962
Phone
(520) 251-1575
Fax
(520) 635-4758
NPI assigned
Dec 21, 2022
Last updated
Dec 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Camilla Williams
Title
Office Manager
Phone
(267) 901-8612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

24225 W 9 Mile Rd Ste 3099
Southfield, MI 48033-3962

Mailing address

20987 N John Wayne Pkwy # B103-113
Maricopa, AZ 85139-2926
Phone (520) 251-1575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address j.brown@sweetserenitybh.com Direct

National Provider Directory

National Provider Directory

Locations

20987 N John Wayne Pkwy
#B103113
Maricopa, AZ 85139

24225 W 9 Mile Rd
Ste 3099
Southfield, MI 48033
Phone (520) 251-1575

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.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1245942275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20987 N JOHN WAYNE PKWY # B103-113",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392926",
            "telephone_number": "520-251-1575",
            "fax_number": "520-635-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24225 W 9 MILE RD STE 3099",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333962",
            "telephone_number": "520-251-1575",
            "fax_number": "520-635-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SERENITY BEHAVIORAL HEALTH AND LIFE COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "267-901-8612"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j.brown@sweetserenitybh.com",
            "affiliation": "N",
            "endpointDescription": "Patient information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24225 W 9 Mile Rd Ste 3099",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480333962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.