Serenity Wellness Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENITY WELLNESS GROUP

Practice address

5060 N 19TH Ave Ste 406-9
Phoenix, AZ 85015-3210

Phone

(602) 692-7293

NPI assigned

Dec 30, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Kristina D Selby BrouchetNPI 1629492962

Title

Officer

Phone

(702) 715-4229

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristina Danielle Selby-Brouchet

  • Mental Health Counselor
  • North Las Vegas, NV
  • NPI 1629492962
  NPD Authorized official

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1750094108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 GAME GARDEN RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314506",
            "telephone_number": "702-715-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 406-9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153210",
            "telephone_number": "602-692-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "SELBY BROUCHET",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "702-715-4229",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Pathway LLC
• Serenity Residential Homes LLC
• Serenity Residential Homes, LLC
• Serenity Services
• Serenity Soul Therapy PLLC
• Serenitybehavioralhealth.LLC
• Sarah Serfilippi, LPC
• Dennis Carmelo Cadiz Serfino, AGACNP-BC
• Audu Thomas Seriki
• Yinka Seriki

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.