Serenity Mental Healthcare

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SERENITY MENTAL HEALTHCARE

Practice address

6010 Beaver Creek LN
Jonesboro, AR 72404-9558

Phone

(629) 239-3961

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Juella Sadicon, NP

Title

Ceo

Phone

(629) 239-3961

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1831895085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17328",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BEAVER CREEK LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049558",
            "telephone_number": "629-239-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "SADICON",
        "authorized_official_first_name": "JUELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "629-239-3961",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Sellers, QBHP
• Tiara Selmon
• Sensational Kids
• Sequencing Solutions
• Serenity and Soul Counseling LLC
• Shelley Leigh Sewell
• Curry Lynn Sexton
• Kristy Michelle Seyler, MCD, SLP
• Lisa J Shackelford, CRNA
• Sarah Shackelford

• Psychiatric/Mental Health Nurse Practitioner in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.