Serenity Healing, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2757 Issued in TN

Legal business name

SERENITY HEALING, LLC

Practice address

207 N Boone St
Suite 17
Johnson City, TN 37604-5675

Phone

(423) 926-4327

Fax

(423) 926-4327

NPI assigned

Sep 20, 2016

Organization subpart

No

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

Authorized official

Name

Jamye Leigh Carr, LPC-MHSP

Title

Ceo

Phone

(423) 218-7851

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1639627524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 SUMMIT DR",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595858",
            "telephone_number": "423-218-7851",
            "fax_number": "423-926-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BOONE ST",
            "address_2": "SUITE 17",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045675",
            "telephone_number": "423-926-4327",
            "fax_number": "423-926-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JAMYE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-218-7851",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022731",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren A Selzer
• Melinda Lynne Seneker, PHARM.D.
• Sara Marie Seneker, PA
• Senior Eye Care of Johnson City LLC
• Marcia M Sentell, M.D.
• Krista Serocki, MD
• Alvaro H Serrano Russi, MD
• Kevin C Settles, PSY.D.
• Christina A Seward, LPC-MHSP
• Bryan Sexton, LMFT, CSOTP

• Professional Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.