Organization Active NPI

Serenity Bridge Telepsychiatry & Weight Management, LLC

  • Adult Mental Health Clinic/Center
  • Snellville, GA
National Provider Identifier
1609714211
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SERENITY BRIDGE TELEPSYCHIATRY & WEIGHT MANAGEMENT, LLC
Practice address
2160 Fountain Dr Ste 100
Snellville, GA 30078-2925
Phone
(470) 236-1785
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Stella Thomas, NPNPI 1487292694
Title
Nurse Practitioner
Phone
(470) 236-1785

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
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2160 Fountain Dr Ste 100
Snellville, GA 30078-2925

Mailing address

2274 Salem Rd
Suite 106, #1259
Conyers, GA 30013-2295

National Provider Directory

National Provider Directory
Tax ID family
Serenity Bridge Telepsychiatry Weight Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1609714211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 SALEM RD",
            "address_2": "SUITE 106, #1259",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 FOUNTAIN DR STE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782925",
            "telephone_number": "470-236-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BRIDGE TELEPSYCHIATRY & WEIGHT MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "470-236-1785",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.