Serenity Health and Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SERENITY HEALTH AND WELLNESS LLC

Practice address

1 Innwood Cir Ste 124
Little Rock, AR 72211-2448

Phone

(501) 952-3222

NPI assigned

Oct 15, 2018

Last updated

Jul 12, 2019By 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

Sharika Lawanda Sproling, LPCNPI 1396177531

Title

Licensed Mental Health Clinician

Phone

(501) 690-0875

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Serenity Health and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Serenity Health and Wellness LLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1467116145
  NPD tax ID

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.

• Marsha Sproling, LMSW

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1427208016

  Mental Health

  Medicare reassignment NPD
• Sharika Sproling

  • Professional Counselor
  • Little Rock, AR
  • NPI 1396177531
  NPD Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1821564121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14911 PARKWAY MEADOWS DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720021827",
            "telephone_number": "501-690-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INNWOOD CIR STE 124",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112448",
            "telephone_number": "501-952-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 W Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721167068",
            "country_code": "US",
            "telephone_number": "501-690-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "SPROLING",
        "authorized_official_first_name": "SHARIKA",
        "authorized_official_middle_name": "LAWANDA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "501-690-0875",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Serenity Park Operations LLC
• Serenity Park Recovery Clinic
• Serenity Park Treatment Center

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, 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 Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.