Organization Active NPI

Serenity & Grace Therapeutic Services

  • Marriage & Family Therapist
  • Wake Forest, NC
National Provider Identifier
1518499508
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1542 Issued in NC
Legal business name
SERENITY & GRACE THERAPEUTIC SERVICES
Practice address
1788 Heritage Center Dr
Suite 202
Wake Forest, NC 27587-3948
Phone
(919) 621-5812
Fax
(919) 516-0088
NPI assigned
Mar 30, 2017
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Mrs. Sarah Harris, L.M.F.T., R.P.T.
Title
President
Phone
(919) 621-5812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1542 NC Primary

Addresses

Primary practice location

1788 Heritage Center Dr
Suite 202
Wake Forest, NC 27587-3948

Mailing address

621 Middle Bridge Rd
Wake Forest, NC 27587-2670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1518499508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MIDDLE BRIDGE RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 HERITAGE CENTER DR",
            "address_2": "SUITE 202",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873948",
            "telephone_number": "919-621-5812",
            "fax_number": "919-516-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY & GRACE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-621-5812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.F.T., R.P.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.