Sister-to-Sister 2, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SISTER-TO-SISTER 2, INC.

Doing business as

Serenity House

Practice address

2363A San Pablo Ave
Oakland, CA 94612-1136

Phone

(510) 891-0464

NPI assigned

May 31, 2018

Last updated

May 31, 2018By 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

Ms. Jetaun G Mills, MA, LMFTNPI 1942698352

Title

Executive Director

Phone

(510) 891-0464

Specialties & licenses 1

Addresses

Other names 1

• Serenity House Doing business as

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.

• Jetaun Mills

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1942698352
  NPD Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1497247977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363A SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121136",
            "telephone_number": "510-891-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363A SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121136",
            "telephone_number": "510-891-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTER-TO-SISTER 2, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JETAUN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-891-0464",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jana Siu

• Mental Illness Community Based Residential Treatment Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.