Sweet Serenity Behavioral Health and Life Coaching LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SWEET SERENITY BEHAVIORAL HEALTH AND LIFE COACHING LLC

Practice address

37526 W Merced St
Maricopa, AZ 85138-5294

Phone

(520) 251-1575

NPI assigned

Nov 30, 2020

Last updated

Nov 30, 2020By 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

Jacquette Brown, LPCNPI 1013543750

Title

Professional Counselor

Phone

(520) 251-1575

Specialties & licenses 1

Addresses

Locations

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.

• Jacquette Shineese Brown

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1013543750
  Authorized official Same address or phone

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1336743434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37526 W MERCED ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385294",
            "telephone_number": "520-251-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37526 W MERCED ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385294",
            "telephone_number": "520-251-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SERENITY BEHAVIORAL HEALTH AND LIFE COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JACQUETTE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "520-251-1575",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.