Serenity Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH3112 Issued in AZ

Legal business name

SERENITY HEALTH SERVICES

Practice address

2200 W Bethany Home Rd
Ste 7B
Phoenix, AZ 85015-1997

Phone

(602) 595-3250

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan Holtzman, MAPC, LAC

Title

Chief Executive Officer

Phone

(602) 595-3250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1548440712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W BETHANY HOME RD",
            "address_2": "STE 7B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151997",
            "telephone_number": "602-595-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W BETHANY HOME RD",
            "address_2": "STE 7B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151997",
            "telephone_number": "602-595-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "HOLTZMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-595-3250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MAPC, LAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376395",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serene Wellness Center LLC
• Serenity Anesthesia LLC
• Serenity Behavioral Health and Wellness Inc
• Serenity Behavioral Home LLC
• Serenity Health Clinic LLC
• Serenity Home Care LLC
• Serenity Hospice Services Inc
• Serenity Mind Care Clinic PLLC
• Serenity Palliative Care LLC
• Serenity Pathway LLC

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.