Organization Active NPI

Serentity Counseling & Learning Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Myrtle Beach, SC
National Provider Identifier
1649917121
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENTITY COUNSELING & LEARNING CENTER LLC
Practice address
2411 N Oak St Ste 403M
Myrtle Beach, SC 29577-3165
Phone
(864) 425-6694
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Cynthia Michelle Roark, EDS, NCC, LPC
Title
Owner
Phone
(864) 425-6694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2411 N Oak St Ste 403M
Myrtle Beach, SC 29577-3165

Mailing address

2411 N Oak St Ste 403M
Myrtle Beach, SC 29577-3165
Phone (864) 425-6694

National Provider Directory

National Provider Directory

Locations

2411 N Oak St
Ste 403M
Myrtle Beach, SC 29577
Phone (843) 443-3172

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": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1649917121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 403M",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773165",
            "telephone_number": "864-425-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N OAK ST STE 403M",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773165",
            "telephone_number": "864-425-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENTITY COUNSELING & LEARNING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "ROARK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-425-6694",
        "authorized_official_credential": "EDS, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.