Serenity Outpatient Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SERENITY OUTPATIENT SERVICES, LLC

Practice address

2979 Harrison St Apt 3
Paducah, KY 42001-4120

Phone

(270) 201-4255

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Laura A Combs, LCSW

Title

Ceo

Phone

(270) 201-4255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1295508448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 HARRISON ST APT 3",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014120",
            "telephone_number": "270-201-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 HARRISON ST APT 3",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014120",
            "telephone_number": "270-201-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-201-4255",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• August Mark Seilheimer, OPTICIAN
• Micah R Seilheimer, OD
• Scott D Seitzinger, DMD
• Sugata Sensarma, M.D., MBBS
• Sensory Solutions-Ky, LLC
• Cody A Sexton, APRN
• Michael A Sexton, AU.D.
• Hanna Jean Seyb, APRN
• Calvin Shanks, D.C.
• Kristy Shanks, PT

• All providers in Paducah, KY
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.