Organization Active NPI

Serenity Springs Wellness and Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • Richmond, VA
National Provider Identifier
1629967815
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SERENITY SPRINGS WELLNESS AND RECOVERY LLC
Practice address
1003 N 25TH St
Richmond, VA 23223-5236
Phone
(804) 980-4047
NPI assigned
Jul 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Deontay Lavar EasterNPI 1942195425
Title
Counselor
Phone
(804) 980-4047

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1003 N 25TH St
Richmond, VA 23223-5236

Mailing address

3231 Cofer Rd Apt A3231
Richmond, VA 23224-6403
Phone (804) 980-4047

Other practice location 1

4 south 14th street
Apt C11
richmond, VA 23219
Phone (804) 980-4047

Other names 1

  • Serenity Springs Wellness and Recovery LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serenity Springs Wellness and Recovery2 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.

Locations

4 S 14th St
Apt C11
Richmond, VA 23219
Phone (804) 980-4047

1003 N 25th St
Richmond, VA 23223
Phone (804) 980-4047

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": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1629967815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 COFER RD APT A3231",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246403",
            "telephone_number": "804-980-4047",
            "fax_number": "804-980-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N 25TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235236",
            "telephone_number": "804-980-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 south 14th street",
            "address_2": "APT C11",
            "address_purpose": "LOCATION",
            "city": "richmond",
            "state": "VA",
            "postal_code": "23219",
            "country_code": "US",
            "telephone_number": "804-980-4047",
            "fax_number": "804-980-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY SPRINGS WELLNESS AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "EASTER",
        "authorized_official_first_name": "DEONTAY",
        "authorized_official_middle_name": "LAVAR",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "804-980-4047"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Springs Wellness and Recovery LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.