Organization Active NPI

Peace and Serenity Network LLC

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1871337501
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PEACE AND SERENITY NETWORK LLC
Practice address
4024 Barrett Dr Ste 201
Raleigh, NC 27609-6625
Phone
(919) 432-5781
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Shawtay D Reese, DSWNPI 1245674605
Title
Ceo
Phone
(919) 559-2692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4024 Barrett Dr Ste 201
Raleigh, NC 27609-6625

Mailing address

4024 Barrett Dr Ste 201
Raleigh, NC 27609-6625
Phone (919) 790-8664

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1871337501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 BARRETT DR STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096625",
            "telephone_number": "919-790-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 BARRETT DR STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096625",
            "telephone_number": "919-432-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE AND SERENITY NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "SHAWTAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-559-2692",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

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