Active NPI
Serenity Wellness Center LLC
- Clinical Social Worker
- Eastpointe, MI
National Provider Identifier
1457914913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SERENITY WELLNESS CENTER LLC
- Practice address
- 17200 E 10 Mile Rd Ste 135
Eastpointe, MI 48021-3349 - Phone
- (586) 552-5826
- Fax
- (586) 252-2960
- NPI assigned
- Apr 19, 2019
- 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
- Mr. Trevion Frierson
- Title
- Owner
- Phone
- (586) 552-5826
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
17200 E 10 Mile Rd Ste 135
Eastpointe, MI 48021-3349
Mailing address
17200 E 10 Mile Rd Ste 135
Eastpointe, MI 48021-3349
Phone (586) 552-5826
National Provider Directory
National Provider DirectoryLocations
17200 E 10 Mile Rd
Ste 135
Eastpointe, MI 48021
Phone (586) 279-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559001600000",
"number": "1457914913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17200 E 10 MILE RD STE 135",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213349",
"telephone_number": "586-552-5826",
"fax_number": "586-252-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17200 E 10 MILE RD STE 135",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213349",
"telephone_number": "586-552-5826",
"fax_number": "586-252-2960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-19",
"last_updated": "2019-05-28",
"status": "A",
"authorized_official_last_name": "FRIERSON",
"authorized_official_first_name": "TREVION",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-552-5826",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.