Sonoran Serenity Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SONORAN SERENITY INC

Practice address

3333 N Campbell Ave Ste 5
Tucson, AZ 85719-2361

Phone

(330) 612-7900

NPI assigned

May 7, 2021

Last updated

Jul 25, 2023By 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

Bernard D TaylorNPI 1033571740

Title

Ceo

Phone

(330) 945-0330

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Bernard Taylor, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1033571740
  NPD Authorized official
• Michele Lynch

  • Case Manager/Care Coordinator
  • Tucson, AZ
  • NPI 1538836572
  NPD

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1548844319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 GAYLORD DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201667",
            "telephone_number": "330-945-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CAMPBELL AVE STE 5",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192361",
            "telephone_number": "330-612-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5043 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857111219",
            "country_code": "US",
            "telephone_number": "330-945-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SONORAN SERENITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-945-0330"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.