Organization Active NPI

Serenity Restoration Services Inc.

  • Marriage & Family Therapist
  • Cutler Bay, FL
National Provider Identifier
1548662398
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2335 Issued in FL
Legal business name
SERENITY RESTORATION SERVICES INC.
Practice address
18901 SW 106TH Ave
Suite # 108
Cutler Bay, FL 33157-7661
Phone
(786) 231-0910
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Luann Rodriguez, PHDNPI 1033341862
Title
President
Phone
(786) 231-0910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH9387 FL
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MT2335 FL Primary

Addresses

Primary practice location

18901 SW 106TH Ave
Suite # 108
Cutler Bay, FL 33157-7661

Mailing address

18901 SW 106TH Ave
Suite # 108
Cutler Bay, FL 33157-7661
Phone (786) 231-0910

Other identifiers 1

IdentifierTypeStateIssuer
00960505700MedicaidFL

National Provider Directory

National Provider Directory

Locations

18901 SW 106th Ave
Ste 108
Cutler Bay, FL 33157
Phone (786) 231-0910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1548662398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE",
            "address_2": "SUITE # 108",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577661",
            "telephone_number": "786-231-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 SW 106TH AVE",
            "address_2": "SUITE # 108",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577661",
            "telephone_number": "786-231-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RESTORATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-231-0910",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9387",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00960505700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.