Serenity Health Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SERENITY HEALTH CLINIC LLC

Practice address

1010 E McDowell Rd Ste LL1
Phoenix, AZ 85006-2606

Phone

(602) 317-1006

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Destiny Nicole Nora Carter

Title

Admin

Phone

(602) 317-1006

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1255197406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD STE LL1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD STE LL1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062606",
            "telephone_number": "602-317-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_middle_name": "NICOLE NORA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "602-317-1006"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serene Services, Inc.
• Serene Wellness Center LLC
• Serenity Anesthesia LLC
• Serenity Behavioral Health and Wellness Inc
• Serenity Behavioral Home LLC
• Serenity Health Services
• Serenity Home Care LLC
• Serenity Hospice Services Inc
• Serenity Mind Care Clinic PLLC
• Serenity Palliative Care LLC

• Health Service Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.