Serenity Den

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SERENITY DEN

Doing business as

Serenity Den Spa

Practice address

24567 Northwestern Hwy Ste 302a
Southfield, MI 48075-2412

Phone

(248) 897-6431

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Khia Adesina, LMTNPI 1568057818

Title

Massage Therapist

Phone

(248) 897-6431

Specialties & licenses 1

Addresses

Other names 1

• Serenity Den Spa Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Khia S Adesina, LMT

  • Massage Therapist
  • Southfield, MI
  • NPI 1568057818
  NPD Authorized official

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1932784766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33045 PARKHILL ST APT 202",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841339",
            "telephone_number": "248-897-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24567 NORTHWESTERN HWY STE 302A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752412",
            "telephone_number": "248-897-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "ADESINA",
        "authorized_official_first_name": "KHIA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "248-897-6431",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Info@serenitydenspa.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Southfield",
            "address_1": "24567 Northwestern Hwy Ste 302A",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480752412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Serenity Den Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Serenity Psychological Services PC
• Serenity824 Massage Therapy Services
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• Massage Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.