Serenity and Soul Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SERENITY AND SOUL COUNSELING LLC

Practice address

1218 Stone St Ste 202
Jonesboro, AR 72401-4568

Phone

(870) 680-0448

NPI assigned

Jun 25, 2020

Last updated

Sep 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte Evans, LPCNPI 1497996243

Title

Owner

Phone

(870) 680-0448

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Evans, LPC

  • Professional Counselor
  • Jonesboro, AR
  • NPI 1497996243
  NPD Authorized official
• Stacey Lynette Bankston, LCSW

  • Clinical Social Worker
  • Rogers, AR
  • NPI 1710211461
  NPD

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1760009716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16706",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036711",
            "telephone_number": "479-680-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 STONE ST STE 202",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014568",
            "telephone_number": "870-680-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY AND SOUL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-680-0448",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1497996243",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Sellers, PHARMD
• Mary E Sellers, QBHP
• Tiara Selmon
• Sensational Kids
• Sequencing Solutions
• Serenity Mental Healthcare
• Shelley Leigh Sewell
• Curry Lynn Sexton
• Kristy Michelle Seyler, MCD, SLP
• Lisa J Shackelford, CRNA

• Mental Health Counselor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.