Active NPI
Serenity Wellness Services Enterprise LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lakeland, FL
National Provider Identifier
1417883281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SERENITY WELLNESS SERVICES ENTERPRISE LLC
- Practice address
- 1704 S Combee Rd
Lakeland, FL 33801-6994 - Phone
- (863) 337-6233
- NPI assigned
- Jun 19, 2026
- 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
- Deaundrea Williams
- Title
- Ceo/Owner
- Phone
- (863) 337-6233
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1704 S Combee Rd
Lakeland, FL 33801-6994
Mailing address
1704 S Combee Rd
Lakeland, FL 33801-6994
Phone (863) 337-6233
National Provider Directory
National Provider DirectoryLocations
1704 S Combee Rd
Lakeland, FL 33801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781827200000",
"number": "1417883281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 S COMBEE RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338016994",
"telephone_number": "863-337-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 S COMBEE RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338016994",
"telephone_number": "863-337-6233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY WELLNESS SERVICES ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-19",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DEAUNDREA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "863-337-6233"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-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": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.