Organization Active NPI

Serenity Solutions Behavioral Health LLC

  • Clinical Social Worker
  • Huntsville, AL
National Provider Identifier
1396229431
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SERENITY SOLUTIONS BEHAVIORAL HEALTH LLC
Practice address
115 Longwood Dr SW Ste D
Huntsville, AL 35801-4500
Phone
(256) 652-1717
NPI assigned
Sep 24, 2018
Last updated
Oct 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

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

Authorized official

Name
Sara Ruth Southern, LICSWNPI 1689124562
Title
Owner/Therapist
Phone
(256) 585-1967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

115 Longwood Dr SW Ste D
Huntsville, AL 35801-4500

Mailing address

115 Longwood Dr SW Ste D
Huntsville, AL 35801-4500
Phone (256) 588-1967

National Provider Directory

National Provider Directory

Locations

115 Longwood Dr SW
Ste D
Huntsville, AL 35801
Phone (256) 652-1717

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539475200000",
    "number": "1396229431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LONGWOOD DR SW STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014500",
            "telephone_number": "256-588-1967",
            "fax_number": "256-531-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LONGWOOD DR SW STE D",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014500",
            "telephone_number": "256-652-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SOLUTIONS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-10-14",
        "status": "A",
        "authorized_official_last_name": "SOUTHERN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "256-585-1967",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.