Brook of Serenity Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

09134046 Issued in GA

Legal business name

BROOK OF SERENITY THERAPY, LLC

Practice address

434 Flat Shoals Ave SE Ste 5
Atlanta, GA 30316-1915

Phone

(832) 542-3982

NPI assigned

Jul 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Selena Coleman

Title

Pastoral Care Counselor & Therapist

Phone

(678) 908-8371

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Selena Coleman, D.D, LCCT

  • Pastoral Counselor
  • Atlanta, GA
  • NPI 1508272402
  NPD

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1912314246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 METROPOLITAN AVE SE UNIT 160014",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303168000",
            "telephone_number": "678-908-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 FLAT SHOALS AVE SE STE 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161915",
            "telephone_number": "832-542-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK OF SERENITY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2023-09-06",
        "certification_date": "2023-02-26",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DR. SELENA",
        "authorized_official_title_or_position": "PASTORAL CARE COUNSELOR & THERAPIST",
        "authorized_official_telephone_number": "678-908-8371"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "09134046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508272402",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Foley Bromberek, MD
• Iosha Bromell
• Lisa Brontesi
• Geoffrey Broocker, M.D.
• Brook Cardiothoracic Surgery LLC
• Stuart G Brooker, MD
• Brookhaven Dental Care, P.C.
• Brookhaven Eye Care Inc.
• Brookhaven Family Dentistry, P. C.
• Brookhaven Renal Systems, LLC (Brookhaven Dialysis Center)

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.