Serenity Counseling Services PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801085755 Issued in MI

Legal business name

SERENITY COUNSELING SERVICES PLLC

Practice address

28475 Greenfield Rd
Suite 107
Southfield, MI 48076-3034

Phone

(313) 354-5240

NPI assigned

Jul 19, 2016

Organization subpart

No

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

Authorized official

Name

Irena Glover, LMSW

Title

Co-Owner

Phone

(313) 999-3659

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert J Egan, M.D.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1679557789
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1841643434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD",
            "address_2": "SUITE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "313-354-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28475 GREENFIELD RD",
            "address_2": "SUITE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763034",
            "telephone_number": "313-354-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "IRENA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "313-999-3659",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801085755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.