Serene Retreat Spa & Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SERENE RETREAT SPA & WELLNESS LLC

Doing business as

Serene Retreat Spa

Practice address

2827 N Main St
Stafford, TX 77477-5511

Phone

(832) 819-3055

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Tonja MillerNPI 1033811021

Title

Owner

Phone

(832) 819-3055

Specialties & licenses 1

Addresses

Other names 1

• Serene Retreat Spa Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tonja Miller, LMT

  • Massage Therapist
  • Stafford, TX
  • NPI 1033811021
  NPD Authorized official
• Clint Major Dabney, LMT117373

  • Massage Therapist
  • Houston, TX
  • NPI 1639985229
  NPD

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1679275671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 N MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 N MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775511",
            "telephone_number": "832-819-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE RETREAT SPA & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TONJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-819-3055"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Retreat Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Stafford, TX
• Providers in Stafford, TX by specialty
• Massage Therapist in Texas

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