Serenity Wellness Center of Las Vegas

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENITY WELLNESS CENTER OF LAS VEGAS

Practice address

3097 E Warm Springs Rd
Las Vegas, NV 89120

Phone

(702) 444-0454

NPI assigned

Sep 19, 2018

Last updated

Nov 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorine HaynesNPI 1558805978

Title

Partner

Phone

(702) 443-5335

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Dorine Haynes

  • Rehabilitation Counselor
  • Henderson, NV
  • NPI 1558805978
  Authorized official Same address or phone
• Darya Shahbazy

  • Mental Health Counselor
  • Henderson, NV
  • NPI 1093227159
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572652800000",
    "number": "1275017956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 E WARM SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203756",
            "telephone_number": "702-444-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 E WARM SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-444-0454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Ultra Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890748339",
            "country_code": "US",
            "telephone_number": "703-477-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Ultra Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890748339",
            "country_code": "US",
            "telephone_number": "703-477-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY WELLNESS CENTER OF LAS VEGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-11-02",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DORINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-443-5335"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093227159",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114266194",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity S&C LLC
• Serenity Sands Hospice, LLC
• Serenity Spinal Care, LLC
• Serenity Therapy and Wellness LLC
• Serenity Therapy LLC (Kayenta Therapy Center)
• Serenity Wellness, LLC
• Serenitymed Solutions LLC (SerenityMed Solutions)
• Serenitymed Solutions, LLC (Serenity-Med Solutions)
• Anthony Barry Serfustini, M.D.
• Sergey Lyass MD, PC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; 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.