Serenitys Place, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

SERENITYS PLACE, INC

Practice address

108 N Main Street
Grover, NC 28073

Phone

(704) 856-9467

Fax

(980) 276-1795

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Reign Lothel Watson

Title

President

Phone

(704) 490-5511

Specialties & licenses 3

Addresses

Practitioners 1

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

• Lothel Watson

  • Peer Specialist
  • Grover, NC
  • NPI 1235905282
  NPD

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1699549600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 EDDLEMAN RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836117",
            "telephone_number": "704-490-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN STREET",
            "city": "GROVER",
            "state": "NC",
            "postal_code": "28073",
            "telephone_number": "704-856-9467",
            "fax_number": "980-276-1795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Yoda Dr",
            "address_purpose": "LOCATION",
            "city": "Grover",
            "state": "NC",
            "postal_code": "280738559",
            "country_code": "US",
            "telephone_number": "704-856-9467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITYS PLACE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "REIGN",
        "authorized_official_middle_name": "LOTHEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-490-5511"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milk and Honey Farm LLC
• Anethia Lacher Moore
• Patriotmed of North Carolina, P.C.
• Quest Provider Services
• Katherine Rush, APRN
• Temperance Transport
• Marquita Latrice Walls
• Lothel Watson
• William Albert Weathers, DDS
• Wilson Telehealth Preventive Care

• All providers in Grover, NC
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.