Organization Active NPI

Serenity Therapy Services, LLC

  • Marriage & Family Therapist
  • Forsyth, GA
National Provider Identifier
1710247226
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001090 Issued in GA
Legal business name
SERENITY THERAPY SERVICES, LLC
Practice address
1195 Juliette Rd
Forsyth, GA 31029-3010
Phone
(478) 365-7393
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Authorized official

Name
Mrs. Allison Parris Owen, LMFT
Title
Owner, Therapist
Phone
(478) 365-7393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT001090 GA Primary

Addresses

Primary practice location

1195 Juliette Rd
Forsyth, GA 31029-3010

Mailing address

111 Aaron CT
Forsyth, GA 31029-3997
Phone (478) 365-7393

National Provider Directory

National Provider Directory

Locations

1195 Juliette Rd
Forsyth, GA 31029
Phone (478) 365-7393

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": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1710247226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 AARON CT",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310293997",
            "telephone_number": "478-365-7393",
            "fax_number": "478-994-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 JULIETTE RD",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310293010",
            "telephone_number": "478-365-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "PARRIS",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "478-365-7393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.