Active NPI
Serenity Rehabilitation Services
- Community/Behavioral Health Agency
- Mint Hill, NC
National Provider Identifier
1255757092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SERENITY REHABILITATION SERVICES
- Practice address
- 11205 Lawyers Rd
Suite F
Mint Hill, NC 28227-8306 - Phone
- (980) 226-5590
- NPI assigned
- Mar 17, 2014
- 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
- Shawana Torrence
- Title
- Ceo
- Phone
- (336) 471-8130
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
11205 Lawyers Rd
Suite F
Mint Hill, NC 28227-8306
Mailing address
2216 W Meadowview Rd
Suite 120
Greensboro, NC 27407-3406
Phone (336) 471-8130
National Provider Directory
National Provider Directory- Tax ID family
- Serenity Rehabilitation Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Greensboro, NC
- NPI 1679041552
-
- Primary Care Clinic/Center
- Greensboro, NC
- NPI 1881054922
Locations
11205 Lawyers Rd
Ste F
Mint Hill, NC 28227
Phone (980) 226-5590
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Mint Hill, NC
- NPI 1124425707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395014400000",
"number": "1255757092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 W MEADOWVIEW RD",
"address_2": "SUITE 120",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274073406",
"telephone_number": "336-471-8130",
"fax_number": "336-464-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11205 LAWYERS RD",
"address_2": "SUITE F",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282278306",
"telephone_number": "980-226-5590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY REHABILITATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A",
"authorized_official_last_name": "TORRENCE",
"authorized_official_first_name": "SHAWANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-471-8130"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mint Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.