Organization Active NPI

Serenity Wellness Center LLC

  • Clinical Social Worker
  • Eastpointe, MI
National Provider Identifier
1457914913
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 28, 2019

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.